Everest Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

MD437798 Issued in PA

Legal business name

EVEREST PHYSICAL THERAPY INC

Practice address

6787 Market St
Suite 2
Upper Darby, PA 19082-1848

Phone

(610) 812-5752

NPI assigned

Jun 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Guofang Wang, M.D.

Title

Ceo

Phone

(610) 812-5752

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1356790448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MOUNT AIRE FARM RD",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193423356",
            "telephone_number": "610-812-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6787 MARKET ST",
            "address_2": "SUITE 2",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190821848",
            "telephone_number": "610-812-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "GUOFANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-812-5752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "MD437798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Upper Darby, PA
• Providers in Upper Darby, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.