Organization Active NPI

Centralized Spine, LLC

  • Physical Medicine & Rehabilitation Physician
  • Media, PA
National Provider Identifier
1316605462
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CENTRALIZED SPINE, LLC
Practice address
200 W Baltimore Ave
Media, PA 19063-3150
Phone
(484) 442-8103
Fax
(484) 442-8376
NPI assigned
Dec 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Sarah Penning, PT, DPT, CERT, MDTNPI 1073761755
Title
Physical Therapist
Phone
(484) 442-8103

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 Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

200 W Baltimore Ave
Media, PA 19063-3150

Mailing address

120 Cedar CT
Media, PA 19063-5444
Phone (484) 442-8103

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address penning@centralizedspine.com Direct
Direct Messaging Address penning@centralizedspine.com Direct

National Provider Directory

National Provider Directory

Locations

200 W Baltimore Ave
Media, PA 19063
Phone (484) 442-8103

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1316605462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CEDAR CT",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635444",
            "telephone_number": "484-442-8103",
            "fax_number": "484-442-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W BALTIMORE AVE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633150",
            "telephone_number": "484-442-8103",
            "fax_number": "484-442-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRALIZED SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "PENNING",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "484-442-8103",
        "authorized_official_credential": "PT, DPT, CERT, MDT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "penning@centralizedspine.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "professional email",
            "address_1": "200 W Baltimore Ave",
            "city": "Media",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190633150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "penning@centralizedspine.com",
            "affiliation": "N",
            "endpointDescription": "professional contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "professional email",
            "address_1": "200 W Baltimore Ave",
            "city": "Media",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190633150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.