Active NPI
Lehigh Valley Physical Therapy Center, Inc.
- Physical Therapist
- Harrisburg, PA
National Provider Identifier
1871598045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- LEHIGH VALLEY PHYSICAL THERAPY CENTER, INC.
- Practice address
- 624 Wilhelm Rd
Harrisburg, PA 17111-2169 - Phone
- (717) 564-7858
- Fax
- (717) 564-4846
- NPI assigned
- Jun 15, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeanette Hamell
- Title
- Business Office Manager
- Phone
- (610) 760-1520
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Counseling Psychologist | 103TC1900X | |||
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
624 Wilhelm Rd
Harrisburg, PA 17111-2169
Mailing address
421 S Best Ave
Walnutport, PA 18088-1217
Phone (610) 760-1520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016806440008 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191801600000",
"number": "1871598045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 S BEST AVE",
"city": "WALNUTPORT",
"state": "PA",
"postal_code": "180881217",
"telephone_number": "610-760-1520",
"fax_number": "610-760-1721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 WILHELM RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171112169",
"telephone_number": "717-564-7858",
"fax_number": "717-564-4846"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEHIGH VALLEY PHYSICAL THERAPY CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-15",
"last_updated": "2007-10-08",
"status": "A",
"authorized_official_last_name": "HAMELL",
"authorized_official_first_name": "JEANETTE",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "610-760-1520"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"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
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016806440008",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.