POCONO FUNCTIONAL REHABILITATION, PLLC
NPI 1811521115
Chiropractor in Hawley, PA
About Pocono Functional Rehabilitation, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POCONO FUNCTIONAL REHABILITATION, PLLC (NPI 1811521115) is a healthcare organization registered as a chiropractor in Hawley, Pennsylvania and active in the NPI registry since February 2020. The organization lists Rae Marie Jacqueline Venarucci, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pocono Functional Rehabilitation, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Pocono Functional Rehabilitation, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pocono Functional Rehabilitation, PLLC's NPI number?
The NPI number for Pocono Functional Rehabilitation, PLLC is 1811521115. It was assigned to this organization in the NPPES registry on February 25, 2020.
Where is Pocono Functional Rehabilitation, PLLC located?
Pocono Functional Rehabilitation, PLLC is located at 74 Welwood Ave Ste 101, Hawley, PA 18428. The listed phone number is (570) 226-4119.
What is Pocono Functional Rehabilitation, PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Pocono Functional Rehabilitation, PLLC enrolled in Medicare?
Yes. Pocono Functional Rehabilitation, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pocono Functional Rehabilitation, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pocono Functional Rehabilitation, PLLC, in Chiropractic and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pocono Functional Rehabilitation, PLLC was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pocono Functional Rehabilitation, Pllc · NPI 1811521115
Chiropractor organization in Hawley, Pennsylvania. Organization record, active in the CMS NPPES registry since February 25, 2020.
## Identity
- **NPI:** 1811521115 (Entity type: Organization)
- **Enumerated:** February 25, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Rae Marie Venarucci, OWNER
## Practice location
- **Address:** 74 WELWOOD AVE STE 101, Hawley, PA 18428-1577
- **Phone:** (570) 226-4119
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (2), Physical Therapist in Private Practice (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1811521115) · Data from the CMS NPPES public registry.