South Philadelphia PS

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SOUTH PHILADELPHIA PS

Practice address

1 Reed St
Philadelphia, PA 19147-5501

Phone

(717) 972-1100

NPI assigned

May 16, 2008

Last updated

Sep 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Tarvin

Title

Vice President

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1568629681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17055",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 REED ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191475501",
            "telephone_number": "717-972-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PHILADELPHIA PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Philadelphia Family Medicine
• South Philadelphia Open MRI, LLC (South Philadelphia Open MRI)
• South Philadelphia Orthodontic Associates
• South Philadelphia Pain Management
• South Philadelphia Pediatrics
• South Philly Chiropractic, LLC
• South Philly East Health and Wellness (Hansjorg Wyss Wellness Center)
• South Philly Home Care
• South Philly Optical Inc.
• Eugenia Catarina South, MD

• Physical Therapy Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.