NPIMap

Organization Active NPI

Plaza Physical Therapy

  • Physical Therapy Clinic/Center
  • Trevose, PA
National Provider Identifier
1194994228
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT013564L Issued in PA
Legal business name
PLAZA PHYSICAL THERAPY
Practice address
339-343 East Street Road
Sterner's Mill Office Complex
Trevose, PA 19053
Phone
(267) 574-8110
Fax
(267) 574-8111
NPI assigned
Feb 22, 2008
Last updated
Feb 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Mr. Brian J Kirby, MSPT
Title
Physical Therapist
Phone
(267) 574-8110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT013564L PA Primary

Addresses

Primary practice location

339-343 East Street Road
Sterner's Mill Office Complex
Trevose, PA 19053

Mailing address

339-343 East Street Road
Sterner's Mill Office Complex
Trevose, PA 19053
Phone (267) 574-8110

Other identifiers 1

IdentifierTypeStateIssuer
2076570000OtherPAINDEPENDENCE BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Plaza Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1194994228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339-343 EAST STREET ROAD",
            "address_2": "STERNER'S MILL OFFICE COMPLEX",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "19053",
            "telephone_number": "267-574-8110",
            "fax_number": "267-574-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339-343 EAST STREET ROAD",
            "address_2": "STERNER'S MILL OFFICE COMPLEX",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "19053",
            "telephone_number": "267-574-8110",
            "fax_number": "267-574-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "267-574-8110",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT013564L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE SHIELD",
            "identifier": "2076570000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.