Organization Active NPI

Reps Rehab LLC

  • Physical Therapy Clinic/Center
  • King of Prussia, PA
National Provider Identifier
1023867165
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REPS REHAB LLC
Practice address
640 W Dekalb Pike Ste 1221
King of Prussia, PA 19406-5024
Phone
(908) 319-8648
NPI assigned
May 13, 2024
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kyle Lance, PT, DPTNPI 1811365935
Title
Owner
Phone
(908) 319-8648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Neurology Physical Therapist 2251N0400X NU
Sports Physical Therapist 2251S0007X NU
Orthopedic Physical Therapist 2251X0800X NU
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

640 W Dekalb Pike Ste 1221
King of Prussia, PA 19406-5024

Mailing address

5426 Hillside Ave
Whitehall, PA 18052-1704
Phone (908) 319-8648

Other practice location 1

4201 Neshaminy Blvd Ste 104
Bensalem, PA 19020-1620
Phone (908) 319-8648

National Provider Directory

National Provider Directory

Locations

4201 Neshaminy Blvd
Ste 104
Bensalem, PA 19020
Phone (215) 322-5240

640 W DeKalb Pike
Ste 1221
King of Prussia, PA 19406
Phone (610) 768-4023

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1023867165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 HILLSIDE AVE",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180521704",
            "telephone_number": "908-319-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W DEKALB PIKE STE 1221",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194065024",
            "telephone_number": "908-319-8648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Neshaminy Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190201620",
            "country_code": "US",
            "telephone_number": "908-319-8648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REPS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "LANCE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-319-8648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.