Active NPI
Orthopaedic Sports Therapy Institute
- Orthopedic Physical Therapist
- Wyomissing, PA
National Provider Identifier
1760886303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT002842E
- Legal business name
- ORTHOPAEDIC SPORTS THERAPY INSTITUTE
- Practice address
- 65 Grandview Blvd
Wyomissing, PA 19609 - Phone
- (610) 780-9043
- NPI assigned
- Oct 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Yannelli-Clark
- Title
- Physical Therapist
- Phone
- (610) 780-9043
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT002842E | PA | Primary |
Addresses
Primary practice location
65 Grandview Blvd
Wyomissing, PA 19609
Mailing address
65 Grandview Blvd
Wyomissing, PA 19609
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412899200000",
"number": "1760886303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 GRANDVIEW BLVD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "19609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 GRANDVIEW BLVD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "19609",
"telephone_number": "610-780-9043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPAEDIC SPORTS THERAPY INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-10",
"last_updated": "2014-10-10",
"status": "A",
"authorized_official_last_name": "YANNELLI-CLARK",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "610-780-9043"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT002842E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.