Organization Active NPI

Orthopaedic Sports Therapy Institute

  • Orthopedic Physical Therapist
  • Wyomissing, PA
National Provider Identifier
1760886303
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT002842E Issued in PA
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

Updated by the provider on Oct 10, 2014

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)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.