Active NPI
Aleksandra Meyerson, DPT
- Sports Physical Therapist
- Penn Valley, PA
National Provider Identifier
1700102654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- PT017244
- Practice address
- 1640 Oakwood Dr
Suite 302
Penn Valley, PA 19072-1061 - Phone
- (610) 909-6105
- NPI assigned
- Apr 18, 2010
- Last updated
- Apr 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | PT017244 | PA | Primary |
Addresses
Primary practice location
1640 Oakwood Dr
Suite 302
Penn Valley, PA 19072-1061
Mailing address
1640 Oakwood Dr
Suite 302
Penn Valley, PA 19072-1061
Phone (610) 909-6105
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017244 | PA | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy Associates, LTD. | Sports | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Penn Valley, PA
- NPI 1982915708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271548800000",
"number": "1700102654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 OAKWOOD DR",
"address_2": "SUITE 302",
"city": "PENN VALLEY",
"state": "PA",
"postal_code": "190721061",
"telephone_number": "610-909-6105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 OAKWOOD DR",
"address_2": "SUITE 302",
"city": "PENN VALLEY",
"state": "PA",
"postal_code": "190721061",
"telephone_number": "610-909-6105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERSON",
"first_name": "ALEKSANDRA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-18",
"last_updated": "2010-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "PA",
"license": "PT017244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penn Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.