Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Paoli Sports Medicine and Rehabilitation Center, Inc

Organization Specialist · NPI 1063595007

Paoli Sports Medicine and Rehabilitation Center, Inc provides Specialist services 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 Not confirmed with CMS for 13 years — call before visiting
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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