Active NPI
Jerry a Toomer
- Physical Therapy Clinic/Center
- Philadelphia, PA
National Provider Identifier
1205228160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT002819L
- Legal business name
- JERRY A TOOMER
- Practice address
- 1610 Cecil B Moore Ave
Philadelphia, PA 19121-3210 - Phone
- (215) 668-9661
- NPI assigned
- Mar 2, 2015
- Last updated
- Mar 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jerry A Toomer, PHYSICAL THERAPIST
- Title
- Owner
- Phone
- (215) 668-9661
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT002819L | PA | Primary |
| Physical Therapy Clinic/Center | 261QP2000X | DAPT000805 | PA |
Addresses
Primary practice location
1610 Cecil B Moore Ave
Philadelphia, PA 19121-3210
Mailing address
1610 Cecil B Moore Ave
Philadelphia, PA 19121-3210
Phone (215) 668-9661
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapy Clinic/Center
- Philadelphia, PA
- NPI 1396446985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425254400000",
"number": "1205228160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 CECIL B MOORE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191213210",
"telephone_number": "215-668-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 CECIL B MOORE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191213210",
"telephone_number": "215-668-9661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERRY A TOOMER",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-02",
"last_updated": "2015-03-02",
"status": "A",
"authorized_official_last_name": "TOOMER",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-668-9661",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHYSICAL THERAPIST"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "PA",
"license": "PT002819L",
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "PA",
"license": "DAPT000805",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.