Organization Active NPI

Main Line Hand Center LLC

  • Orthopedic Physical Therapist
  • Media, PA
National Provider Identifier
1043645948
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT021080 Issued in PA
Legal business name
MAIN LINE HAND CENTER LLC
Practice address
101 N Monroe St
Second Floor
Media, PA 19063-3037
Phone
(484) 444-0135
Fax
(484) 444-0138
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Authorized official

Name
Mrs. Kamala N Bongiorno, MPT
Title
Owner
Phone
(610) 270-0370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT021080 PA Primary

Addresses

Primary practice location

101 N Monroe St
Second Floor
Media, PA 19063-3037

Mailing address

120 W Germantown Pike
Suite 100
Plymouth Meeting, PA 19462-1420
Phone (610) 270-0370

National Provider Directory

National Provider Directory

Locations

495 Thomas Jones Way
Ste 204
Exton, PA 19341
Phone (610) 363-6062

101 N Monroe St
#2
Media, PA 19063
Phone (484) 444-0135

101 N Monroe St
Media, PA 19063
Phone (484) 444-0135

250 W Lancaster Ave
Ste 205
Paoli, PA 19301
Phone (610) 644-2589

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1043645948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W GERMANTOWN PIKE",
            "address_2": "SUITE 100",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621420",
            "telephone_number": "610-270-0370",
            "fax_number": "610-270-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MONROE ST",
            "address_2": "SECOND FLOOR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633037",
            "telephone_number": "484-444-0135",
            "fax_number": "484-444-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE HAND CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "BONGIORNO",
        "authorized_official_first_name": "KAMALA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-270-0370",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT021080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.