Jane Sara Carpenter

Individual provider Active NPI Physical Therapist · Newtown Square, PA

NPI 1003332891 · NPPES record last updated Aug 14, 2017

Key facts

NPI
1003332891
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT026386 (PA)
Practice address
3500 W Chester Pike
Newtown Square, PA 19073-4101
Phone
(484) 574-5475
NPI assigned
Aug 14, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT026386PAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT026386 PA Yes

Addresses

Primary practice location

3500 W Chester Pike
Newtown Square, PA 19073-4101

Mailing address

5 Fox Chase Cir
Newtown Square, PA 19073-2405
Phone (484) 574-5475

Other providers in Newtown Square, PA

All providers in Newtown Square, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.