NPIMap

Organization Active NPI

Theraphysical Care of Pennsylvania, LLC

Doing business as Outreach PhysicalTherapy and Rehabilitation

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1871635318
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009930L Issued in PA
Legal business name
THERAPHYSICAL CARE OF PENNSYLVANIA, LLC
Doing business as
Outreach PhysicalTherapy and Rehabilitation
Practice address
1919 Chestnut St.
Ste. 104
Philadelphia, PA 19103-3456
Phone
(215) 227-2738
Fax
(215) 227-2739
NPI assigned
Feb 13, 2007
Last updated
Aug 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Armel Del Rosario Mendoza, PT
Title
PT, President, Part Owner
Phone
(215) 227-2738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT009930L PA Primary

Addresses

Primary practice location

1919 Chestnut St.
Ste. 104
Philadelphia, PA 19103-3456

Mailing address

1919 Chestnut St.
Ste. 104
Philadelphia, PA 19103-3456
Phone (215) 227-2738

Other names 1

  • Outreach PhysicalTherapy and Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

1919 Chestnut St
Ste 104
Philadelphia, PA 19103
Phone (215) 564-1110

3633 N Broad St
Philadelphia, PA 19140
Phone (215) 227-2738

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1871635318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 CHESTNUT ST.",
            "address_2": "STE. 104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033456",
            "telephone_number": "215-227-2738",
            "fax_number": "215-227-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 CHESTNUT ST.",
            "address_2": "STE. 104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033456",
            "telephone_number": "215-227-2738",
            "fax_number": "215-227-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPHYSICAL CARE OF PENNSYLVANIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "ARMEL",
        "authorized_official_middle_name": "DEL ROSARIO",
        "authorized_official_title_or_position": "PT, PRESIDENT, PART OWNER",
        "authorized_official_telephone_number": "215-227-2738",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009930L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outreach PhysicalTherapy and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.