Concrete Physical Therapy P.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

017905-1 Issued in NY

Legal business name

CONCRETE PHYSICAL THERAPY P.C.

Practice address

RR 4 Box 4571
Saylorsburg, PA 18353-9372

Phone

(917) 690-6947

Fax

(570) 629-5549

NPI assigned

Feb 8, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Eliza Abuan Dixon, PT

Title

President

Phone

(917) 690-6947

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1720350663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 4 BOX 4571",
            "city": "SAYLORSBURG",
            "state": "PA",
            "postal_code": "183539372",
            "telephone_number": "917-690-6947",
            "fax_number": "570-629-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 4 BOX 4571",
            "city": "SAYLORSBURG",
            "state": "PA",
            "postal_code": "183539372",
            "telephone_number": "917-690-6947",
            "fax_number": "570-629-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCRETE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_middle_name": "ABUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-690-6947",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "017905-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Saylorsburg, PA
• Providers in Saylorsburg, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.