Active NPI
Kerry Eid, PT, DPT
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1770981318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT023885
- Practice address
- 2630 Holme Ave
Second Floor
Philadelphia, PA 19152-3004 - Phone
- (800) 321-9999
- NPI assigned
- Dec 14, 2014
- Sex
- Female
- Sole proprietor
- No
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 | PT023885 | PA | Primary |
Addresses
Primary practice location
2630 Holme Ave
Second Floor
Philadelphia, PA 19152-3004
Mailing address
2630 Holme Ave
Second Floor
Philadelphia, PA 19152-3004
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT023885 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418515200000",
"number": "1770981318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 HOLME AVE",
"address_2": "SECOND FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191523004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 HOLME AVE",
"address_2": "SECOND FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191523004",
"telephone_number": "800-321-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EID",
"first_name": "KERRY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-14",
"last_updated": "2014-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT023885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.