Active NPI
Eden June Arellano, PT
- Physical Therapist
- Hamburg, PA
National Provider Identifier
1760614663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017615
- Practice address
- 125 Holly Rd
Hamburg, PA 19526-8729 - Phone
- (610) 562-2284
- Fax
- (610) 562-4938
- NPI assigned
- Aug 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017615 | PA | Primary |
Addresses
Primary practice location
125 Holly Rd
Hamburg, PA 19526-8729
Mailing address
817 Rebecca LN
Orefield, PA 18069-8841
Phone (973) 356-5583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017615 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250035200000",
"number": "1760614663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 REBECCA LN",
"city": "OREFIELD",
"state": "PA",
"postal_code": "180698841",
"telephone_number": "973-356-5583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 HOLLY RD",
"city": "HAMBURG",
"state": "PA",
"postal_code": "195268729",
"telephone_number": "610-562-2284",
"fax_number": "610-562-4938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARELLANO",
"first_name": "EDEN",
"middle_name": "JUNE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-12",
"last_updated": "2009-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT017615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.