Individual provider Active NPI

Thomas D Kalup, PTA

  • Physical Therapy Assistant
  • Bala Cynwyd, PA
National Provider Identifier
1932921954
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TE013676 Issued in PA
Practice address
1 Belmont Ave Ste 400
Bala Cynwyd, PA 19004-1607
Phone
(610) 668-4055
Fax
(610) 668-4250
NPI assigned
Oct 30, 2024
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE013676 PA Primary

Addresses

Primary practice location

1 Belmont Ave Ste 400
Bala Cynwyd, PA 19004-1607

Mailing address

2406 E Firth St
Philadelphia, PA 19125-3109
Phone (215) 760-7426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TE013676PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1932921954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 E FIRTH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253109",
            "telephone_number": "215-760-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BELMONT AVE STE 400",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041607",
            "telephone_number": "610-668-4055",
            "fax_number": "610-668-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALUP",
        "first_name": "THOMAS",
        "middle_name": "D",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE013676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.