Active NPI
Alex Ufberg, P.T.
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1679516801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-002109-E
- Practice address
- 11048 Rennard St
Philadelphia, PA 19116-2618 - Phone
- (215) 671-8909
- Fax
- (215) 671-0686
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- 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 | PT-002109-E | PA | Primary |
Addresses
Primary practice location
11048 Rennard St
Philadelphia, PA 19116-2618
Mailing address
11048 Rennard St
Philadelphia, PA 19116-2618
Phone (215) 671-8909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Temple University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11048 Rennard St
Philadelphia, PA 19116-2618
Phone (215) 431-3055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-002109-E | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Adult Day Care Inc. | Physical Therapist | Current | Accepting new patients |
| Aquatic Therapy of Chinatown | Past | Accepting new patients | |
| Aquatic Therapy of Chinatown | Physical Therapist | Past | Accepting new patients |
Locations
11048 Rennard St
Philadelphia, PA 19116
Phone (215) 431-3055
Organizations & group practices 3
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.
-
- Physical Therapist
- Philadelphia, PA
- NPI 1689742421
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- Chiropractor
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- NPI 1518902253
-
- Physical Therapist
- Philadelphia, PA
- NPI 1639107071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1679516801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11048 RENNARD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191162618",
"telephone_number": "215-671-8909",
"fax_number": "215-671-0686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11048 RENNARD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191162618",
"telephone_number": "215-671-8909",
"fax_number": "215-671-0686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UFBERG",
"first_name": "ALEX",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT-002109-E",
"primary": true
}
],
"identifiers": [],
"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 Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.