Organization Active NPI

Lighthouse Sports Medicine LLC

  • Physical Therapist
  • Langhorne, PA
National Provider Identifier
1508836792
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LIGHTHOUSE SPORTS MEDICINE LLC
Practice address
582 Middletown Blvd
Langhorne, PA 19047-1828
Phone
(215) 702-8269
Fax
(215) 702-0610
NPI assigned
Jan 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Christopher M Aland, MD
Title
Owner
Phone
(215) 702-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

582 Middletown Blvd
Langhorne, PA 19047-1828

Mailing address

582 Middletown Blvd
Langhorne, PA 19047-1828
Phone (215) 702-8269

Other identifiers 2

IdentifierTypeStateIssuer
DD5506OtherPATRAVELERS MEDICARE
1630924OtherHIGHMARK BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

582 Middletown Blvd
Ste B100
Langhorne, PA 19047
Phone (215) 702-0600

582 Middletown Blvd
Langhorne, PA 19047
Phone (215) 702-8269

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1508836792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 MIDDLETOWN BLVD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471828",
            "telephone_number": "215-702-8269",
            "fax_number": "215-702-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 MIDDLETOWN BLVD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471828",
            "telephone_number": "215-702-8269",
            "fax_number": "215-702-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "ALAND",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-702-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "DD5506",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1630924",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.