NPIMap

Organization Active NPI

Stride Physical Therapy

Doing business as Stride Physical Therapy LLC

  • Physical Therapist
  • Huntingdon Valley, PA
National Provider Identifier
1033728381
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STRIDE PHYSICAL THERAPY
Doing business as
Stride Physical Therapy LLC
Practice address
706 Raikes Rd
Huntingdon Valley, PA 19006-3418
Phone
(215) 292-1330
NPI assigned
Jul 23, 2020
Last updated
Sep 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Anna YakubovNPI 1164830717
Title
Physical Therapist
Phone
(215) 292-1330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

706 Raikes Rd
Huntingdon Valley, PA 19006-3418

Mailing address

706 Raikes Rd
Huntingdon Valley, PA 19006-3418
Phone (215) 292-1330

Other names 1

  • Stride Physical Therapy LLC Doing business as

National Provider Directory

National Provider Directory

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": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1033728381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 RAIKES RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063418",
            "telephone_number": "215-292-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 RAIKES RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063418",
            "telephone_number": "215-292-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIDE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "YAKUBOV",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "215-292-1330"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stride Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.