Prosourcept LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PROSOURCEPT LLC

Practice address

421 W 5TH Ave
Conshohocken, PA 19428-1671

Phone

(215) 479-0119

NPI assigned

Jan 2, 2020

Organization subpart

No

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

Authorized official

Name

Benjamin Peter White, PT

Title

Physical Therapist, Owner, Manager

Phone

(215) 479-0119

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1639718182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W 5TH AVE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281671",
            "telephone_number": "215-479-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W 5TH AVE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281671",
            "telephone_number": "215-479-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSOURCEPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER, MANAGER",
        "authorized_official_telephone_number": "215-479-0119",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James D. Reese, D.M.D.

• Physical Therapy Clinic/Center in Conshohocken, PA
• Providers in Conshohocken, 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 Jan 2, 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.