Individual provider Active NPI

Elizabeth Ann Stanford Werkheiser, PHYSICAL THERAPIST

  • Specialist
  • Eagleville, PA
National Provider Identifier
1154522118
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT000754E Issued in PA
Practice address
3075 Ridge Pike
Eagleville, PA 19403
Phone
(610) 265-4700
Fax
(610) 265-3439
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT000754E PA Primary

Addresses

Primary practice location

3075 Ridge Pike
Eagleville, PA 19403

Mailing address

342 Level Rd
Collegeville, PA 19426-3456
Phone (610) 489-5701

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT000754EPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Arc Alliance Children Services Past Accepting new patients
Arc Advocacy Services Past Accepting new patients

Organizations & group practices 2

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154522118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 LEVEL RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263456",
            "telephone_number": "610-489-5701",
            "fax_number": "610-489-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 RIDGE PIKE",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "19403",
            "telephone_number": "610-265-4700",
            "fax_number": "610-265-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD WERKHEISER",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT000754E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagleville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.