Organization Active NPI

Proud Health Inc.

  • Physical Therapist
  • Feasterville Trevose, PA
National Provider Identifier
1801489471
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROUD HEALTH INC.
Practice address
16 Diana LN
Feasterville Trevose, PA 19053-5910
Phone
(215) 939-7287
NPI assigned
Feb 15, 2021
Last updated
Feb 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Authorized official

Name
Jenna Kagan, PT, DPT
Title
President
Phone
(215) 939-7287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

16 Diana LN
Feasterville Trevose, PA 19053-5910

Mailing address

16 Diana LN
Feasterville Trevose, PA 19053-5910

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1801489471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DIANA LN",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190535910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DIANA LN",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190535910",
            "telephone_number": "215-939-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROUD HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-939-7287",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.