Organization Active NPI

Fidelity Therapy Services LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Feasterville Trevose, PA
National Provider Identifier
1831708809
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
FIDELITY THERAPY SERVICES LLC
Practice address
83 Bustleton Pike Unit C
Feasterville Trevose, PA 19053-6465
Phone
(215) 710-0515
Fax
(215) 710-0258
NPI assigned
Jul 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Yelena Kuznetsov, RN, BSNNPI 1740806900
Title
Admin
Phone
(215) 710-0515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

83 Bustleton Pike Unit C
Feasterville Trevose, PA 19053-6465

Mailing address

83 Bustleton Pike Unit C
Feasterville Trevose, PA 19053-6465
Phone (215) 710-0515

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.

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1831708809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 BUSTLETON PIKE UNIT C",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536465",
            "telephone_number": "215-710-0515",
            "fax_number": "215-710-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 BUSTLETON PIKE UNIT C",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536465",
            "telephone_number": "215-710-0515",
            "fax_number": "215-710-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "KUZNETSOV",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "215-710-0515",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "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 Jul 27, 2020; 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.