NPIMap

Organization Active NPI

Penn Neuromuscular Diagnostics, LLC

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1093062572
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PENN NEUROMUSCULAR DIAGNOSTICS, LLC
Practice address
1233 Locust St
Philadelphia, PA 19107-5453
Phone
(724) 801-8894
Fax
(724) 465-6032
NPI assigned
Aug 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Thomas W ZauchaNPI 1134423809
Title
Owner
Phone
(724) 801-8894

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1233 Locust St
Philadelphia, PA 19107-5453

Mailing address

9 N 7TH St
2ND Floor, Townplace Victoria
Indiana, PA 15701-1880
Phone (724) 801-8894

Other names 1

  • PNDx Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Penn Neuromuscular Diagnostics LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1233 Locust St
Philadelphia, PA 19107
Phone (215) 790-1788

Practitioners & affiliated clinicians

Practitioners 1

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": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1093062572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N 7TH ST",
            "address_2": "2ND FLOOR, TOWNPLACE VICTORIA",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011880",
            "telephone_number": "724-801-8894",
            "fax_number": "724-465-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075453",
            "telephone_number": "724-801-8894",
            "fax_number": "724-465-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN NEUROMUSCULAR DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "ZAUCHA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-801-8894"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PNDx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.