Organization Active NPI

Comprecare Lymphatics, LLC

  • Medical Specialty Clinic/Center
  • Willow Grove, PA
National Provider Identifier
1871947077
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
OC009781 Issued in PA
Legal business name
COMPRECARE LYMPHATICS, LLC
Practice address
709 Easton Rd
Suite 1 South
Willow Grove, PA 19090-2069
Phone
(215) 659-1137
Fax
(215) 659-1147
NPI assigned
Apr 14, 2016
Last updated
Oct 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Mrs. Kristin Law, OTR/L, CLT, WCCNPI 1225491996
Title
Owner/Practitioner
Phone
(267) 980-2306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X OC009781 PA Primary

Addresses

Primary practice location

709 Easton Rd
Suite 1 South
Willow Grove, PA 19090-2069

Mailing address

1849 Ambler Rd
Abington, PA 19001-2701

Other identifiers 1

IdentifierTypeStateIssuer
103138986-0001MedicaidPA

National Provider Directory

National Provider Directory

Locations

709 Easton Rd
Ste 1
Willow Grove, PA 19090
Phone (215) 659-1137

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1871947077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 AMBLER RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190012701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 EASTON RD",
            "address_2": "SUITE 1 SOUTH",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902069",
            "telephone_number": "215-659-1137",
            "fax_number": "215-659-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPRECARE LYMPHATICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "267-980-2306",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L, CLT, WCC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PA",
            "license": "OC009781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103138986-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.