Ivy Hill Foundation, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT01865 Issued in PA

Legal business name

IVY HILL FOUNDATION, INC

Doing business as

Ivy Hill Therapeutic Equestrian Center

Practice address

1811 Mill Rd
Perkasie, PA 18944

Phone

(215) 822-2515

NPI assigned

Oct 15, 2010

Last updated

May 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chris T Brockett

Title

Board President

Phone

(215) 822-2515

Specialties & licenses 2

Addresses

Other names 1

• Ivy Hill Therapeutic Equestrian Center Doing business as

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1720398472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 MILL RD",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "18944",
            "telephone_number": "215-822-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 MILL RD",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "18944",
            "telephone_number": "215-822-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY HILL FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "BROCKETT",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "215-822-2515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT01865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivy Hill Therapeutic Equestrian Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Perkasie, PA
• Providers in Perkasie, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.