Active NPI
Jack Allen Parry, DPT, MPT, MSA
- Physical Therapist
- Souderton, PA
National Provider Identifier
1376503359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007814L
- Practice address
- 723 Route 113
Suite 6
Souderton, PA 18964-1000 - Phone
- (215) 538-1999
- Fax
- (267) 382-0088
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007814L | PA | Primary |
Addresses
Primary practice location
723 Route 113
Suite 6
Souderton, PA 18964-1000
Mailing address
723 Route 113
Suite 6
Souderton, PA 18964-1000
Phone (215) 538-1999
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2492427 | Other | PA | AETNA |
| 604885 | Other | PA | HIGHMARK |
| 50004096 | Other | PA | CAPITAL BLUE CROSS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT007814L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Industry Health Solutions, Inc | Physical Therapist | Past | Accepting new patients |
| Parry PT LLC | Physical Therapist | 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.
-
- Occupational Medicine Physician
- Harleysville, PA
- NPI 1306234729
Physical Therapist
-
- Physical Therapist
- Souderton, PA
- NPI 1922758226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1376503359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 ROUTE 113",
"address_2": "SUITE 6",
"city": "SOUDERTON",
"state": "PA",
"postal_code": "189641000",
"telephone_number": "215-538-1999",
"fax_number": "267-382-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 ROUTE 113",
"address_2": "SUITE 6",
"city": "SOUDERTON",
"state": "PA",
"postal_code": "189641000",
"telephone_number": "215-538-1999",
"fax_number": "267-382-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRY",
"first_name": "JACK",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DPT, MPT, MSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT007814L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2492427",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "604885",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50004096",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Souderton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.