NPIMap

Organization Active NPI

Trustees of the University of Pennsylvania

Doing business as Penn Medicine at Home

  • Physical Therapist
  • Bala Cynwyd, PA
National Provider Identifier
1801572144
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Doing business as
Penn Medicine at Home
Practice address
150 Monument Rd Ste 200
Bala Cynwyd, PA 19004-1725
Phone
(610) 747-3400
NPI assigned
Jun 22, 2023
Organization subpart
Yes
Parent organization
WISSAHICKON HOSPICE OF UPHSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Sarah Glick Johnson
Title
C00, Pmah
Phone
(215) 279-1828

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

150 Monument Rd Ste 200
Bala Cynwyd, PA 19004-1725

Mailing address

150 Monument Rd Ste 200
Bala Cynwyd, PA 19004-1725
Phone (610) 747-3400

Other names 1

  • Penn Medicine at Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Univ of Penn Dept of NE44 organizations share this tax ID, including this one
Part of
Wissahickon Hospice of Uphs

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

Locations

150 Monument Rd
Ste 200
Bala Cynwyd, PA 19004
Phone (610) 747-3400

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1801572144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD STE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041725",
            "telephone_number": "610-747-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD STE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041725",
            "telephone_number": "610-747-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WISSAHICKON HOSPICE OF UPHS",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "GLICK",
        "authorized_official_title_or_position": "C00, PMAH",
        "authorized_official_telephone_number": "215-279-1828"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Medicine at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.