Active NPI
Cedars Therapy, LLC
- Physical Therapy Clinic/Center
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT006318L
- 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
- Last updated
- Mar 15, 2012
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT006318L | PA | Primary |
Addresses
Primary practice location
45 N 3Rd St
Philadelphia, PA 19106-4508
Mailing address
51 N 3Rd St # 302
Philadelphia, PA 19106-4517
Phone (609) 922-0814
Other names 1
- Cedars Therapy, LLC
National Provider Directory
National Provider DirectoryLocations
1430 Route 70 E
Cherry Hill, NJ 08034
Phone (609) 922-0814
45 N 3rd St
Philadelphia, PA 19106
Phone (609) 922-0814
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Philadelphia, PA
- NPI 1518034925
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cedars Therapy, LLC",
"code": "5",
"type": "Other Name"
}
]
}
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 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.