Eastern Approach Rehabilitation Center LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015799 Issued in PA

Legal business name

EASTERN APPROACH REHABILITATION CENTER LLC

Practice address

10100 Jamison Ave Ste 222
Philadelphia, PA 19116-3832

Phone

(215) 676-3870

Fax

(215) 676-6856

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph J Wang, DPT, DCNPI 1881636728

Title

Owner

Phone

(267) 992-1338

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph J Wang, DPT

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1881636728

  Chiropractor

  Medicare reassignment Care Compare group NPD Authorized official
• Leonard Stavropolskiy, PT

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1487691168

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Steven Ehrlich, LPT

  • Physical Therapist
  • Bluffton, SC
  • NPI 1629116389
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1760423602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 JAMISON AVE STE 222",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163832",
            "telephone_number": "215-676-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 JAMISON AVE STE 222",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163832",
            "telephone_number": "215-676-3870",
            "fax_number": "215-676-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN APPROACH REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-992-1338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC0074444L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015799",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD ID",
            "identifier": "001614143",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.