Organization Active NPI

Transform Rehabilitation, LLC

  • Physical Therapist
  • Whitehall, PA
National Provider Identifier
1578048054
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRANSFORM REHABILITATION, LLC
Practice address
3722 Lehigh St Ste 406
Whitehall, PA 18052-3439
Phone
(610) 594-2060
NPI assigned
Oct 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Authorized official

Name
Kyle Lance, PT, DPT
Title
Member
Phone
(610) 594-2060

Specialties & licenses 1

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

Addresses

Primary practice location

3722 Lehigh St Ste 406
Whitehall, PA 18052-3439

Mailing address

3722 Lehigh St Ste 406
Whitehall, PA 18052-3439

National Provider Directory

National Provider Directory

Locations

5325 Northgate Dr
Ste 200
Bethlehem, PA 18017
Phone (484) 222-4646

983 E Lancaster Ave
Ste A
Downingtown, PA 19335

3722 Lehigh St
Ste 406407
Whitehall, PA 18052
Phone (484) 387-1065

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1578048054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 LEHIGH ST STE 406",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 LEHIGH ST STE 406",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523439",
            "telephone_number": "610-594-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORM REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-11-12",
        "status": "A",
        "authorized_official_last_name": "LANCE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "610-594-2060",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.