Active NPI
Eileen Senour, PT
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1669595377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT003802L
- Practice address
- 3975 Conshohocken Ave
Philadelphia, PA 19131-5426 - Phone
- (215) 879-1000
- Fax
- (215) 879-3912
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 | PT003802L | PA | Primary |
Addresses
Primary practice location
3975 Conshohocken Ave
Philadelphia, PA 19131-5426
Mailing address
118 Everett Ave
Willow Grove, PA 19090-3326
Phone (215) 945-4073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019225490002 | Medicaid | PA |
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 |
|---|---|---|---|
| PT003802L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669595377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 EVERETT AVE",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190903326",
"telephone_number": "215-945-4073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3975 CONSHOHOCKEN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191315426",
"telephone_number": "215-879-1000",
"fax_number": "215-879-3912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENOUR",
"first_name": "EILEEN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT003802L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019225490002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.