PAOLI SPORTS MEDICINE AND REHABILITATION CENTER, INC.
NPI 1063595007
Specialist in Paoli, PA

Q: What is Paoli Sports Medicine And Rehabilitation Center, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 23, 2006

30 S VALLEY RD, SUITE 102, PAOLI, PA 19301(610) 647-1996(610) 408-8677 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Paoli Sports Medicine And Rehabilitation Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAOLI SPORTS MEDICINE AND REHABILITATION CENTER, INC. (NPI 1063595007) is a healthcare organization registered as a specialist in Paoli, Pennsylvania and active in the NPI registry since October 2006. The organization lists Joseph Michael Corcoran, Owner, as its authorized official.

NPPES Registry Identity

NPI1063595007

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePAOLI SPORTS MEDICINE AND REHABILITATION CENTER, INC.

Location Address30 S VALLEY RD, SUITE 102Paoli, PA 19301-1469

Mailing Address30 S Valley Rd, Suite 102Paoli, PA 19301-1450 · (610) 647-1996 · Fax (610) 408-8677

Phone(610) 647-1996

Fax(610) 408-8677

Organization SubpartNo

Authorized OfficialJoseph Michael CorcoranOwner · (610) 647-1996

Enumeration DateOctober 23, 2006

Last NPPES UpdateAugust 27, 2013

✔ NPI 1063595007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in PA · PT-000620-E

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

30 S VALLEY RD, Paoli, PA 19301

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Other Identifiers 5

Other=========002PA · Tricare Provider Number

Medicare ID-Type Unspecified614087PA · Id Number

Other8495471PA · Aetna Id Number

OtherDB4763PA · Rr Medicare Number

Other1173150001PA · Dme Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOSEPH MICHAEL CORCORAN P.T.

Physical Medicine & Rehabilitation

30 S VALLEY RD, STE 102
PAOLI, PA 19301

Chester County (610) 647-1996

JOAN E. DALESSANDRO AU.D.

Audiologist

30 S VALLEY RD, SUITE 208
PAOLI, PA 19301

Chester County (610) 296-5857

THE DEVEREUX FOUNDATION

Community/Behavioral Health