Active NPI
Isabella Ross, DPT
- Physical Therapist
- Lakewood, NJ
National Provider Identifier
1588174155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT026409
- Practice address
- 15 America Ave Unit 108
Lakewood, NJ 08701-4581 - Phone
- (215) 550-1360
- NPI assigned
- Oct 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT026409 | PA | Primary |
Addresses
Primary practice location
15 America Ave Unit 108
Lakewood, NJ 08701-4581
Mailing address
1113 Dyre St
Philadelphia, PA 19124-2501
Other practice location 1
16 S State St Ste 3
Newtown, PA 18940-1963
Phone (215) 550-6109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT026409 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Days Early Intervention Agency LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Newtown, PA
- NPI 1609180678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1588174155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 DYRE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191242501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 AMERICA AVE UNIT 108",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014581",
"telephone_number": "215-550-1360"
}
],
"practiceLocations": [
{
"address_1": "16 S State St Ste 3",
"address_purpose": "LOCATION",
"city": "Newtown",
"state": "PA",
"postal_code": "189401963",
"country_code": "US",
"telephone_number": "215-550-6109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSS",
"first_name": "ISABELLA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT026409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.