Organization Active NPI

Cedars Therapy, LLC

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1720148158
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
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
Last updated
Mar 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Mrs. Irene Mizobe Connolly, PT, MSNPI 1518034925
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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.