Organization Active NPI

S-Squared

  • Physical Therapist
  • Dresher, PA
National Provider Identifier
1043591571
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020820 Issued in PA
Legal business name
S-SQUARED
Practice address
1825 Limekiln Pike
Dresher, PA 19025-1739
Phone
(215) 646-6400
Fax
(215) 646-0650
NPI assigned
Aug 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Ron Glen Siscoe, DC
Title
Owner
Phone
(215) 646-6499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT020820 PA Primary

Addresses

Primary practice location

1825 Limekiln Pike
Dresher, PA 19025-1739

Mailing address

1825 Limekiln Pike
Dresher, PA 19025-1739
Phone (215) 646-6400

Other names 1

  • pulse rehab Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1043591571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 LIMEKILN PIKE",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "190251739",
            "telephone_number": "215-646-6400",
            "fax_number": "215-646-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 LIMEKILN PIKE",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "190251739",
            "telephone_number": "215-646-6400",
            "fax_number": "215-646-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S-SQUARED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "SISCOE",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-646-6499",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pulse rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dresher, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.