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

Psychophysical Rehab & Recovery PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1700054400

Psychophysical Rehab & Recovery PC is a Physical Medicine & Rehabilitation Physician in Erie, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

311 W 24th St Ste 306
Erie, PA 16502-2665
Phone: (814) 459-0585
Fax: (814) 455-0239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence MD061822L (PA)

Record details

NPI number1700054400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Costa — Physician · (814) 459-0585
NPI enumeratedFebruary 15, 2008
Last updated in NPPESJanuary 26, 2012
Mailing address311 W 24th St, Suite 306, Erie, PA 16502-2665

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