NPIMap

Organization Active NPI

Upper Perk Physical Therapy & Sports Rehab., Inc

  • Physical Therapist
  • Pennsburg, PA
National Provider Identifier
1497700710
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT006662L Issued in PA
Legal business name
UPPER PERK PHYSICAL THERAPY & SPORTS REHAB., INC
Practice address
2767 Geryville Pike
Pennsburg, PA 18073-2306
Phone
(215) 679-0105
Fax
(215) 679-0722
NPI assigned
May 24, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Jay David Kauffman, PTNPI 1407816192
Title
Owner/Physical Therapist
Phone
(215) 679-0105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040416000962 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8527053859 Receives reassigned benefits from 11 practitioners
Practice locations: New Hope, PA; Pennsburg, PA; Springfield, PA

National Provider Directory

National Provider Directory

Locations

8 Village Sq
New Hope, PA 18938
Phone (215) 862-9444

8 Village Sq
Ste 8
New Hope, PA 18938
Phone (215) 693-1627

14 Village Sq
New Hope, PA 18938

15 Village Sq
Ste 1
New Hope, PA 18938
Phone (215) 862-4195

14 Village Sq
#15
New Hope, PA 18938

4 E Woodland Ave
Springfield, PA 19064
Phone (610) 328-3330

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT006662L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

2767 Geryville Pike
Pennsburg, PA 18073-2306

Mailing address

2767 Geryville Pike
Pennsburg, PA 18073-2306
Phone (215) 679-0105

Other identifiers 6

NPPES NPI Registry
IdentifierTypeStateIssuer
5065681OtherPAAETNA NON-HMO
001542215OtherPAHIGHMARK/BLUE SHIELD
3325331OtherPAAETNA - HMO
2227091000OtherPAKEYSTONE HEALTH PLAN EAST
0017868690004MedicaidPA
30011373OtherPAKEYSTONE MERCY

Other names 1

NPPES NPI Registry
  • New Hope Physical Therapy & Sports Rehab., Inc Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 2, 2013.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1497700710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2767 GERYVILLE PIKE",
            "city": "PENNSBURG",
            "state": "PA",
            "postal_code": "180732306",
            "telephone_number": "215-679-0105",
            "fax_number": "215-679-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2767 GERYVILLE PIKE",
            "city": "PENNSBURG",
            "state": "PA",
            "postal_code": "180732306",
            "telephone_number": "215-679-0105",
            "fax_number": "215-679-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER PERK PHYSICAL THERAPY & SPORTS REHAB., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "KAUFFMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "215-679-0105",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006662L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA  NON-HMO",
            "identifier": "5065681",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK/BLUE SHIELD",
            "identifier": "001542215",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - HMO",
            "identifier": "3325331",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "2227091000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017868690004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30011373",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Hope Physical Therapy & Sports Rehab., Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pennsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.