Active NPI
Central Penn in Home Therapy
- Physical Therapy Clinic/Center
- Lebanon, PA
National Provider Identifier
1467859405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT015630
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sopheap Yi, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Physical Therapist
- Palmyra, PA
- NPI 1114963998
-
- Occupational Therapist
- Lebanon, PA
- NPI 1619157450
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.