Active NPI
Timothy Flaherty, P.T.
- Physical Therapist
- Langhorne, PA
National Provider Identifier
1982892949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014202L
- Practice address
- 2022 E Old Lincoln Highway
Langhorne, PA 19047 - Phone
- (215) 891-5150
- Fax
- (215) 891-1410
- NPI assigned
- Oct 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT014202L | PA | Primary |
| Physical Therapist | 225100000X | J10002270 | DE |
Addresses
Primary practice location
2022 E Old Lincoln Highway
Langhorne, PA 19047
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2001620000 | Other | IBC | |
| 1308253 | Other | PABS | |
| 92832901 | Other | CAREFIRST | |
| 1982892949 | Medicaid | DE | |
| 11795711 | Other | CAQH | |
| 1982892949 | Other | CHAMPUS TRICARE | |
| 5070-0088 | Other | NCA |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1982892949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2022 E OLD LINCOLN HIGHWAY",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "19047",
"telephone_number": "215-891-5150",
"fax_number": "215-891-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAHERTY",
"first_name": "TIMOTHY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-04",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT014202L",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J10002270",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "2001620000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PABS",
"identifier": "1308253",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "92832901",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982892949",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11795711",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS TRICARE",
"identifier": "1982892949",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCA",
"identifier": "5070-0088",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Langhorne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.