Active NPI
Superior Physical Therapy Inc
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1922046689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SUPERIOR PHYSICAL THERAPY INC
- Practice address
- 2547 S Broad St
Philadelphia, PA 19148-4309 - Phone
- (215) 462-3303
- Fax
- (215) 462-3304
- NPI assigned
- Jun 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
- Scott Kingsley, PT
- Title
- Program Manager
- Phone
- (215) 462-3303
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2547 S Broad St
Philadelphia, PA 19148-4309
Mailing address
2547 S. Broad Street
Philadelphia, PA 19148
Phone (215) 462-3303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Newtown, PA
- NPI 1952547895
-
- Physical Therapist
- Philadelphia, PA
- NPI 1437113362
-
- Physical Therapist
- Philadelphia, PA
- NPI 1568428274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391040000000",
"number": "1922046689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2547 S. BROAD STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19148",
"telephone_number": "215-462-3303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2547 S BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191484309",
"telephone_number": "215-462-3303",
"fax_number": "215-462-3304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2014-01-30",
"status": "A",
"authorized_official_last_name": "KINGSLEY",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "PROGRAM MANAGER",
"authorized_official_telephone_number": "215-462-3303",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.