Active NPI
The Center for Pediatric Therapy Inc
- Physical Therapist
- Wyomissing, PA
National Provider Identifier
1861607210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015720
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1939281 | Other | PA | HIGHMARK BLUE SHIELD |
Other names 1
- the center for pediatric therapy inc physical therapy
National Provider Directory
National Provider Directory- Tax ID family
- The Center for Pediatric Therapy Inc
- 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.
-
- Multi-Specialty Clinic/Center
- Wyomissing, PA
- NPI 1407924616
-
- Speech-Language Pathologist
- Wyomissing, PA
- NPI 1770798126
-
- Occupational Therapist
- Wyomissing, PA
- NPI 1831374669
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
- Elizabeth Marie Teter, ATC
- Linda M Texter, CRNP
- The Center for Advanced Wound Care
- The Center for Pediatric Therapy Inc
- The Center for Pediatric Therapy Inc
- The Center for Pediatric Therapy, Inc
- The Childrens Clininic of Wyomissing
- The Counseling and Wellness Center of Wyomissing
- The Highlands at Wyomissing
- The Highlands at Wyomissing
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.