Delaware Valley Sports & Spinal Physical Therapy, Inc.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT-008023-L Issued in PA

Legal business name

DELAWARE VALLEY SPORTS & SPINAL PHYSICAL THERAPY, INC.

Practice address

1201 Bustleton Pike
Suite 201
Southampton, PA 19053

Phone

(215) 357-0808

Fax

(215) 357-0808

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ian J Cole, MPT, MTC

Title

President, Physical Therapist

Phone

(215) 357-0505

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1144424508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1081",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189660781",
            "telephone_number": "215-357-0505",
            "fax_number": "215-357-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BUSTLETON PIKE",
            "address_2": "SUITE 201",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "19053",
            "telephone_number": "215-357-0808",
            "fax_number": "215-357-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY SPORTS & SPINAL PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "215-357-0505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT, MTC"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT-008023-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Southampton, PA
• Providers in Southampton, PA by specialty
• Orthopedic Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.