Active NPI
Conshohocken Physical Therapy Inc
- Physical Therapy Clinic/Center
- Conshohocken, PA
National Provider Identifier
1912091190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT015693
- Legal business name
- CONSHOHOCKEN PHYSICAL THERAPY INC
- Practice address
- 20 E 11TH Ave
Conshohocken, PA 19428-1555 - Phone
- (610) 828-7595
- Fax
- (610) 828-7505
- NPI assigned
- Oct 3, 2006
- 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
- Dr. Desirea D Caucci, DPT
- Title
- President
- Phone
- (610) 828-7595
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT015693 | PA | Primary |
Addresses
Primary practice location
20 E 11TH Ave
Conshohocken, PA 19428-1555
Mailing address
20 E 11TH Ave
Conshohocken, PA 19428-1555
Phone (610) 828-7595
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17588 | Other | PA | AMERIHEALTH ADMINISTRATOR |
| 3498858 | Other | PA | AETNA NON PAR |
| 1417588 | Other | PA | HIGHMARK BS INDIVIDUAL |
| 0220700 | Other | PA | ORTHONET |
| 700260 | Other | PA | UNITED HEALTHCARE/ACN |
| 1732275 | Other | PA | HIGHMARK BS GROUP |
| 5630094 | Other | PA | FIRST HEALTH |
| 737511 | Other | PA | NCPPO |
| 7385670 | Other | PA | AWCA INDIVIDUAL |
| 2402306 | Other | PA | INDEPENDENCE BC GROUP |
| 1881699213 | Other | PA | INDIVIDUAL NPI |
| 2103996000 | Other | PA | INDEPENDENCE BC INDIV |
| 7051525 | Other | PA | AWCA GROUP |
| 8279722 | Other | PA | CIGNA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310083200000",
"number": "1912091190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 E 11TH AVE",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194281555",
"telephone_number": "610-828-7595",
"fax_number": "610-828-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 E 11TH AVE",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194281555",
"telephone_number": "610-828-7595",
"fax_number": "610-828-7505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSHOHOCKEN PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2011-07-08",
"status": "A",
"authorized_official_last_name": "CAUCCI",
"authorized_official_first_name": "DESIREA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-828-7595",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "PA",
"license": "PT015693",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH ADMINISTRATOR",
"identifier": "17588",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON PAR",
"identifier": "3498858",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS INDIVIDUAL",
"identifier": "1417588",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHONET",
"identifier": "0220700",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE/ACN",
"identifier": "700260",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS GROUP",
"identifier": "1732275",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5630094",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "737511",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AWCA INDIVIDUAL",
"identifier": "7385670",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BC GROUP",
"identifier": "2402306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1881699213",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BC INDIV",
"identifier": "2103996000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AWCA GROUP",
"identifier": "7051525",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8279722",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.