Provider Demographics
NPI:1871571877
Name:THE CORF AT SCHENLEY GARDENS REAHBILITATION
Entity type:Organization
Organization Name:THE CORF AT SCHENLEY GARDENS REAHBILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GIPKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-683-6811
Mailing Address - Street 1:3890 BIGELOW BLVD
Mailing Address - Street 2:G4
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-1152
Mailing Address - Country:US
Mailing Address - Phone:412-683-6811
Mailing Address - Fax:412-621-6432
Practice Address - Street 1:3890 BIGELOW BLVD
Practice Address - Street 2:G4
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-1152
Practice Address - Country:US
Practice Address - Phone:412-683-6811
Practice Address - Fax:412-621-6432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA007789L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA394562Medicare ID - Type UnspecifiedREHABILITATION