Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paoli Sports Medicine and Rehabilitation Center, Inc

Organization Specialist · NPI 1063595007

Paoli Sports Medicine and Rehabilitation Center, Inc is a Specialist in Paoli, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30 S Valley Rd Ste 102
Paoli, PA 19301-1469
Phone: (610) 647-1996
Fax: (610) 408-8677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence PT-000620-E (PA)

Record details

NPI number1063595007
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Corcoran — Owner · (610) 647-1996
NPI enumeratedOctober 23, 2006
Last updated in NPPESAugust 27, 2013
Mailing address30 S Valley Rd, Suite 102, Paoli, PA 19301-1450

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