NPIMap

Organization Active NPI

Main Line Pediatric Therapy Center, Inc.

  • Early Intervention Provider Agency
  • Bryn Mawr, PA
National Provider Identifier
1699976233
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
PT003148L Issued in PA
Legal business name
MAIN LINE PEDIATRIC THERAPY CENTER, INC.
Practice address
840 Roscommon Rd
Bryn Mawr, PA 19010-1845
Phone
(610) 527-7715
Fax
(610) 527-7716
NPI assigned
May 30, 2007
Last updated
Aug 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Mrs. Abbe Bernstein Avart, MSPTNPI 1205140050
Title
Co-Owner, Co-Director
Phone
(610) 527-7714

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X PT003148L PA Primary

Addresses

Primary practice location

840 Roscommon Rd
Bryn Mawr, PA 19010-1845

Mailing address

PO Box 139
Gladwyne, PA 19035-0139
Phone (610) 527-7714

Other names 1

  • MLPTC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1699976233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 139",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190350139",
            "telephone_number": "610-527-7714",
            "fax_number": "610-527-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 ROSCOMMON RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101845",
            "telephone_number": "610-527-7715",
            "fax_number": "610-527-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE PEDIATRIC THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "AVART",
        "authorized_official_first_name": "ABBE",
        "authorized_official_middle_name": "BERNSTEIN",
        "authorized_official_title_or_position": "CO-OWNER, CO-DIRECTOR",
        "authorized_official_telephone_number": "610-527-7714",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "PA",
            "license": "PT003148L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MLPTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.