Individual provider Active NPI

Edgardo Pareyno Arquitola, PT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1093769762
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018855 Issued in PA
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

Updated by the provider on Dec 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Aug 4, 2020 Accepting new patients
Theraphysical Care of Pennsylvania, LLC Physical Therapist CurrentSince Apr 25, 2011 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 PastSince Jun 14, 2005 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.

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.

Verify at the official NPI Registry.