NPIMap

Organization Active NPI

Sports and Back Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Langhorne, PA
National Provider Identifier
1245273127
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SPORTS AND BACK REHABILITATION INC
Practice address
370 E Maple Ave
Suite 103
Langhorne, PA 19047-2859
Phone
(215) 752-4553
Fax
(215) 752-0703
NPI assigned
Jun 14, 2006
Last updated
Apr 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Linda M Peters, PTNPI 1831132976
Title
President/Owner
Phone
(215) 752-4553

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 1

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

Addresses

Primary practice location

370 E Maple Ave
Suite 103
Langhorne, PA 19047-2859

Mailing address

370 E Maple Ave
Suite 103
Langhorne, PA 19047-2859
Phone (215) 752-4553

Other identifiers 2

IdentifierTypeStateIssuer
0053616OtherPAAETNA
0423943000OtherPAINDEPENDENCE BLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1245273127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E MAPLE AVE",
            "address_2": "SUITE 103",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190472859",
            "telephone_number": "215-752-4553",
            "fax_number": "215-752-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E MAPLE AVE",
            "address_2": "SUITE 103",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190472859",
            "telephone_number": "215-752-4553",
            "fax_number": "215-752-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS AND BACK REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "215-752-4553",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0053616",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0423943000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.