First Philadelphia Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

FIRST PHILADELPHIA CHARTER SCHOOL

Practice address

4300 Tacony St
Philadelphia, PA 19124-4134

Phone

(215) 743-3100

Fax

(215) 743-9877

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Stacey C Clarke, MA.ED.

Title

Principal - Head of School

Phone

(215) 743-3100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kathleen Marie Breslinfoulkrod, COTA/L, B.S.

  • Occupational Therapy Assistant
  • Philadelphia, PA
  • NPI 1346683281
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508871229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 TACONY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191244134",
            "telephone_number": "215-743-3100",
            "fax_number": "215-743-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 TACONY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191244134",
            "telephone_number": "215-743-3100",
            "fax_number": "215-743-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PHILADELPHIA CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRINCIPAL - HEAD OF SCHOOL",
        "authorized_official_telephone_number": "215-743-3100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA.ED."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015161030001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• First Line EMS LLC
• First Rate Rehabilitation, LLC
• First Response Medical Transport Inc
• First Step Care Givers LLC
• First Step Home Care Agency LLC
• First Step Responders LLC

• Local Education Agency (LEA) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Local Education Agency (LEA) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.