Individual provider Active NPI

Ellen G Kalikow

  • Geriatric Physical Therapist
  • Huntingdon Valley, PA
National Provider Identifier
1184092926
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT002935E Issued in PA
Practice address
1787 Oak Hill Dr
Huntingdon Valley, PA 19006-7727
Phone
(215) 498-8754
NPI assigned
Sep 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT002935E PA Primary

Addresses

Primary practice location

1787 Oak Hill Dr
Huntingdon Valley, PA 19006-7727

Mailing address

1787 Oak Hill Dr
Huntingdon Valley, PA 19006-7727
Phone (215) 498-8754

Other names 1

  • Ellen Greystone Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1184092926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 OAK HILL DR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067727",
            "telephone_number": "215-498-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 OAK HILL DR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067727",
            "telephone_number": "215-498-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIKOW",
        "first_name": "ELLEN",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "PA",
            "license": "PT002935E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "GREYSTONE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.