Walbridge Physical Medicine & Rehabilitation PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MB05553500 Issued in NJ

Legal business name

WALBRIDGE PHYSICAL MEDICINE & REHABILITATION PC

Practice address

1950 Butler Pike
#262
Conshohocken, PA 19428-1202

Phone

(215) 796-0081

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Eric Lipnack, DO

Title

Owner

Phone

(215) 796-0081

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1477618908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 BUTLER PIKE",
            "address_2": "#262",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281202",
            "telephone_number": "215-796-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 BUTLER PIKE",
            "address_2": "#262",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281202",
            "telephone_number": "215-796-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALBRIDGE PHYSICAL MEDICINE & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "LIPNACK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-796-0081",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB05553500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Conshohocken, PA
• Providers in Conshohocken, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.