Active NPI
Edgardo Pareyno Arquitola, PT
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1093769762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018855
- Practice address
- 1919 Chestnut St
Suite 104
Philadelphia, PA 19103-3401 - Phone
- (215) 564-1110
- Fax
- (215) 564-1130
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT018855 | PA | Primary |
Addresses
Primary practice location
1919 Chestnut St
Suite 104
Philadelphia, PA 19103-3401
Mailing address
1919 Chestnut St
Suite 104
Philadelphia, PA 19103-3401
Phone (215) 564-1110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progress Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Theraphysical Care of Pennsylvania, LLC | Physical Therapist | Current | Accepting new patients |
| Regenetics Health Institute, PA | Past | Accepting new patients | |
| Teamwork Rehab Services | Physical Therapist | Past | Accepting new patients |
| Central Florida Pediatric & Adult Therapy Services, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
3633 N Broad St
Philadelphia, PA 19140
Phone (215) 227-2738
1919 Chestnut St
Ste 104
Philadelphia, PA 19103
Phone (215) 564-1110
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Kissimmee, FL
- NPI 1750361929
Physical Therapist
-
- Physical Therapist
- Philadelphia, PA
- NPI 1164851085
-
- Physical Therapist
- Philadelphia, PA
- NPI 1871635318
-
- Physical Medicine & Rehabilitation Physician
- Orlando, FL
- NPI 1366458978
-
- Physical Therapist
- Celebration, FL
- NPI 1669460044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229990400000",
"number": "1093769762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 CHESTNUT ST",
"address_2": "SUITE 104",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191033401",
"telephone_number": "215-564-1110",
"fax_number": "215-564-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 CHESTNUT ST",
"address_2": "SUITE 104",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191033401",
"telephone_number": "215-564-1110",
"fax_number": "215-564-1130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARQUITOLA",
"first_name": "EDGARDO",
"middle_name": "PAREYNO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2008-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.