Active NPI
Barry Cleaver, PTA
- Skilled Nursing Facility
- Roslyn, PA
National Provider Identifier
1205125192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- TEI000251
- Practice address
- 2630 Woodland Rd
Roslyn, PA 19001-3013 - Phone
- (215) 881-4111
- NPI assigned
- Mar 31, 2011
- Last updated
- Mar 31, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | TEI000251 | PA | Primary |
Addresses
Primary practice location
2630 Woodland Rd
Roslyn, PA 19001-3013
Mailing address
246 Delmont Ave
Warminster, PA 18974-3750
Phone (215) 674-9801
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
| License | State | Type | Specialty |
|---|---|---|---|
| TEI000251 | PA | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301529600000",
"number": "1205125192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 DELMONT AVE",
"city": "WARMINSTER",
"state": "PA",
"postal_code": "189743750",
"telephone_number": "215-674-9801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 WOODLAND RD",
"city": "ROSLYN",
"state": "PA",
"postal_code": "190013013",
"telephone_number": "215-881-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEAVER",
"first_name": "BARRY",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-31",
"last_updated": "2011-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "TEI000251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roslyn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.