Advanced Lymphedema Therapy Services, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

OC008082 Issued in 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

Last updated

Jul 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Anne Koschineg, OTRLNPI 1700874203

Title

President

Phone

(215) 913-0127

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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.

• Kimberly Anne Koschineg, O.T.

  • Occupational Therapist
  • Langhorne, PA
  • NPI 1700874203
  Medicare reassignment NPD Authorized official
• Lorraine Calhoun, OTRL

  • Occupational Therapist
  • Langhorne, PA
  • NPI 1194923300
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1407066129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 FERRIS LN",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189015037",
            "telephone_number": "215-913-0127",
            "fax_number": "215-340-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CORNER STONE DRIVE",
            "address_2": "SUITE 700",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "19047",
            "telephone_number": "215-750-0501",
            "fax_number": "215-340-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LYMPHEDEMA THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "KOSCHINEG",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-913-0127",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "PA",
            "license": "OC008082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Adesman, MS CRC
• Oluwafunmike Doyin Adigun, M.D.
• Jennifer Adler, VMD
• Advanced Anesthesia Professionals, LLC
• Advanced General Surgical Associates, P.C.
• Advanced Oral Surgery, P.C.
• Advanced Rehab Specialist. LLC
• Alyssa Agati, NP
• Amanosi Agbugui
• Florence Agbugui

• Rehabilitation Clinic/Center in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.