Advanced Lymphedema Therapy Services, LLC
Organization Active NPI Rehabilitation Clinic/Center · Langhorne, PA
NPI 1407066129 · NPPES record last updated Jul 10, 2007
Key facts
- NPI
- 1407066129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- License
- OC008082 (PA)
- Legal business name
- ADVANCED LYMPHEDEMA THERAPY SERVICES, LLC
- Practice address
- 3 Corner Stone Drive
Suite 700
Langhorne, PA 19047 - Phone
- (215) 750-0501
- Fax
- (215) 340-1299
- NPI assigned
- May 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Kimberly Anne Koschineg, OTRL
- Title
- President
- Phone
- (215) 913-0127
Practitioners 2
-
Kimberly Anne Koschineg, O.T.
-
Lorraine Calhoun, OTRL
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090701000511 | PA | Part B Supplier - Clinic/Group Practice | 1153331269 |
Receives reassigned benefits from 1 practitioner Practice locations: Langhorne, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | OC008082 | PA | Yes |
Addresses
Primary practice location
3 Corner Stone Drive
Suite 700
Langhorne, PA 19047
Mailing address
603 Ferris LN
Doylestown, PA 18901-5037
Phone (215) 913-0127
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- Advanced Rehab Specialist. LLC
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All providers in Langhorne, PA · Rehabilitation Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.