Organization Active NPI

WRC Sports and Fitness Limited Partnership

  • Physical Therapy Clinic/Center
  • Wyomissing, PA
National Provider Identifier
1982147161
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WRC SPORTS AND FITNESS LIMITED PARTNERSHIP
Practice address
3103 Papermill Rd
Wyomissing, PA 19610-3337
Phone
(610) 376-2100
Fax
(610) 376-4131
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Ted Kolva
Title
General Manager
Phone
(610) 376-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3103 Papermill Rd
Wyomissing, PA 19610-3337

Mailing address

3103 Papermill Rd
Wyomissing, PA 19610-3337
Phone (610) 376-2100

Other names 1

  • Body Zone Physical Therapy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170203001772 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2062795727 Receives reassigned benefits from 2 practitioners
Practice locations: Wyomissing, PA

National Provider Directory

National Provider Directory

Locations

3103 Papermill Rd
Wyomissing, PA 19610
Phone (610) 376-2100

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1982147161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 PAPERMILL RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103337",
            "telephone_number": "610-376-2100",
            "fax_number": "610-376-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 PAPERMILL RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103337",
            "telephone_number": "610-376-2100",
            "fax_number": "610-376-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRC SPORTS AND FITNESS LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "KOLVA",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "610-376-2100"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Zone Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.

Verify at the official NPI Registry.