Individual provider Active NPI

Eljy John Sianson Torrecampo, RPT

  • Physical Therapist
  • Merion Station, PA
National Provider Identifier
1316048630
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018545 Issued in PA
Practice address
215 Stoneway LN
Merion Station, PA 19066-1819
Phone
(417) 438-8509
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2006007055 MO
Physical Therapist 225100000X PT018545 PA Primary

Addresses

Primary practice location

215 Stoneway LN
Merion Station, PA 19066-1819

Mailing address

215 Stoneway LN
Merion Station, PA 19066-1819
Phone (417) 438-8509

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2006007055MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Simpson Therapy Services, LLC Physical Therapist CurrentSince Jul 23, 2024 Accepting new patients

Locations

150 Monument Rd
Ste 202
Bala Cynwyd, PA 19004

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1316048630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 STONEWAY LN",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661819",
            "telephone_number": "417-438-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 STONEWAY LN",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661819",
            "telephone_number": "417-438-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRECAMPO",
        "first_name": "ELJY JOHN",
        "middle_name": "SIANSON",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2006007055",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merion Station, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.

Verify at the official NPI Registry.