Active NPI
Steven Levenzon
- Physical Therapy Assistant
- Emmaus, PA
National Provider Identifier
1245823319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TEI006034
- Practice address
- 419 State Ave Ste 5
Emmaus, PA 18049-3057 - Phone
- (610) 653-7701
- NPI assigned
- Feb 18, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 011882-1 | NY | |
| Massage Therapist | 225700000X | MSG014852 | PA | |
| Physical Therapy Assistant | 225200000X | TEI006034 | PA | Primary |
Addresses
Primary practice location
419 State Ave Ste 5
Emmaus, PA 18049-3057
Mailing address
3757 Crest View Dr
Allentown, PA 18103-6143
Phone (917) 589-1598
Other practice location 1
227 W Broad St Ste 102
Bethlehem, PA 18018-5570
Phone (610) 653-7701
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 |
|---|---|---|---|
| TEI006034 | PA | MD | Physical Therapy Assistant |
| MSG014852 | PA | MD | Massage Therapist |
| 011882-1 | NY | MD | Local Education Agency (LEA) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Body Therapeutic Massage, LLC | Massage Therapist | Past | Accepting new patients |
| Rise Up Rehab Physical Therapy PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Massage Therapist
- Bethlehem, PA
- NPI 1205357936
-
- Physical Therapist
- Brooklyn, NY
- NPI 1386253516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1245823319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3757 CREST VIEW DR",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036143",
"telephone_number": "917-589-1598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 STATE AVE STE 5",
"city": "EMMAUS",
"state": "PA",
"postal_code": "180493057",
"telephone_number": "610-653-7701"
}
],
"practiceLocations": [
{
"address_1": "227 W Broad St Ste 102",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "PA",
"postal_code": "180185570",
"country_code": "US",
"telephone_number": "610-653-7701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVENZON",
"first_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-18",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "011882-1",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG014852",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TEI006034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Emmaus, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.