Organization Active NPI

Central Penn in Home Therapy

  • Physical Therapy Clinic/Center
  • Lebanon, PA
National Provider Identifier
1467859405
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT015630 Issued in PA
Legal business name
CENTRAL PENN IN HOME THERAPY
Practice address
609 N 12TH St
Lebanon, PA 17046-3381
Phone
(717) 926-6677
Fax
(717) 838-4581
NPI assigned
Nov 19, 2014
Last updated
Nov 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Mr. Sopheap Yi, DPTNPI 1114963998
Title
Physical Therapist/Owner
Phone
(717) 926-6677

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 Therapy Clinic/Center 261QP2000X PT015630 PA Primary

Addresses

Primary practice location

609 N 12TH St
Lebanon, PA 17046-3381

Mailing address

520 Hedge Row LN
Palmyra, PA 17078-8651
Phone (717) 926-6677

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1467859405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 HEDGE ROW LN",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170788651",
            "telephone_number": "717-926-6677",
            "fax_number": "717-838-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N 12TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170463381",
            "telephone_number": "717-926-6677",
            "fax_number": "717-838-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PENN IN HOME THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "SOPHEAP",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "717-926-6677",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT015630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.