Active NPI
Joseph Vincent Tighe, PT
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1700909264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009953L
- Practice address
- 400 W Hortter St
Unit C
Philadelphia, PA 19119-3653 - Phone
- (215) 266-9173
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT009953L | PA | Primary |
Addresses
Primary practice location
400 W Hortter St
Unit C
Philadelphia, PA 19119-3653
Mailing address
400 W Hortter St
Unit C
Philadelphia, PA 19119-3653
Phone (215) 266-9173
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020904 | Other | PA | BCBS OF PENNSYLVANIA |
| 0460235000 | Other | PA | BLUE SHIELD PERSONAL CHOI |
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 |
|---|---|---|---|
| PT009953L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700909264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W HORTTER ST",
"address_2": "UNIT C",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191193653",
"telephone_number": "215-266-9173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W HORTTER ST",
"address_2": "UNIT C",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191193653",
"telephone_number": "215-266-9173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIGHE",
"first_name": "JOSEPH",
"middle_name": "VINCENT",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT009953L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF PENNSYLVANIA",
"identifier": "020904",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PERSONAL CHOI",
"identifier": "0460235000",
"state": "PA"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.