Cedars Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT006318L Issued in PA

Legal business name

CEDARS THERAPY, LLC

Practice address

45 N 3Rd St
Philadelphia, PA 19106-4508

Phone

(609) 922-0814

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Irene Mizobe Connolly, PT, MS

Title

Director

Phone

(609) 922-0814

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Cedars Therapy, LLC Other name

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1720148158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N 3RD ST # 302",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064517",
            "telephone_number": "609-922-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N 3RD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064508",
            "telephone_number": "609-922-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "MIZOBE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-922-0814",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, MS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT006318L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICEN",
            "identifier": "PT006318L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TRANSACTION ACCESS NUMBER GROUP",
            "identifier": "145254",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP MEMBER NUMBER OR INDIVIDUAL PROVIDER TRANSACTION ACCESS NUMBER",
            "identifier": "148676ZCSX",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedars Therapy, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Marcia Cedeno
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• Gillian Cedrone

• Physical Therapy Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.