Therapeutic Muscle Solutions

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

OP006867 Issued in PA

Legal business name

THERAPEUTIC MUSCLE SOLUTIONS

Practice address

168 Hudson Dr
Phoenixville, PA 19460-5648

Phone

(484) 682-4442

Fax

(801) 504-4336

NPI assigned

May 16, 2013

Last updated

May 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Derek Lee Somerville, LMT, COTA

Title

Owner/Operator

Phone

(484) 682-4442

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1689010670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 HUDSON DR",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194605648",
            "telephone_number": "484-682-4442",
            "fax_number": "801-504-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 HUDSON DR",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194605648",
            "telephone_number": "484-682-4442",
            "fax_number": "801-504-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC MUSCLE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "SOMERVILLE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "484-682-4442",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT, COTA"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "PA",
            "license": "OP006867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.