Organization Active NPI

The Center for Pediatric Therapy Inc

  • Physical Therapist
  • Wyomissing, PA
National Provider Identifier
1861607210
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015720 Issued in PA
Legal business name
THE CENTER FOR PEDIATRIC THERAPY INC
Practice address
9 Bristol CT
Wyomissing, PA 19610-1851
Phone
(610) 670-8600
NPI assigned
May 11, 2007
Organization subpart
Yes
Parent organization
THE CENTER FOR PEDIATRIC THERAPY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Mr. Wayne Jensen
Title
Business Manager
Phone
(610) 670-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT015720 PA Primary

Addresses

Primary practice location

9 Bristol CT
Wyomissing, PA 19610-1851

Mailing address

9 Bristol CT
Wyomissing, PA 19610-1851
Phone (610) 670-8600

Other identifiers 1

IdentifierTypeStateIssuer
1939281OtherPAHIGHMARK BLUE SHIELD

Other names 1

  • the center for pediatric therapy inc physical therapy Other name

National Provider Directory

National Provider Directory
Tax ID family
The Center for Pediatric Therapy Inc4 organizations share this tax ID, including this one
Part of
The Center for Pediatric Therapy Inc

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1861607210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BRISTOL CT",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101851",
            "telephone_number": "610-670-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BRISTOL CT",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101851",
            "telephone_number": "610-670-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR PEDIATRIC THERAPY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CENTER FOR PEDIATRIC THERAPY INC",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "610-670-8600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1939281",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the center for pediatric therapy inc physical therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 13, 2007; 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.