NPIMap

Anna Evenosky

Individual provider Active NPI Physical Therapist · Limerick, PA

NPI 1689350852 · NPPES record last updated Jun 23, 2023

Key facts

NPI
1689350852
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
TPT023738 (PA)
Practice address
451 W Ridge Pike Ste 479
Limerick, PA 19468-1415
Phone
(484) 369-8953
NPI assigned
Jun 23, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
TPT023738PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraplay, LLC Physical Therapist Past
since Jun 25, 2023		 Accepting new patients
Theraplay, LLC Past
since Jun 25, 2023		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TPT023738 PA Yes

Addresses

Primary practice location

451 W Ridge Pike Ste 479
Limerick, PA 19468-1415

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050

Other providers in Limerick, PA

All providers in Limerick, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.