Athlete Design Labs, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017244 Issued in PA

Legal business name

ATHLETE DESIGN LABS, LLC

Practice address

1640 Oakwood Dr
Apt 302
Penn Valley, PA 19072-1061

Phone

(610) 909-6633

NPI assigned

Jun 25, 2010

Organization subpart

No

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

Authorized official

Name

Aleksandra Meyerson, DPT

Title

Owner

Phone

(610) 909-6633

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1982915708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 OAKWOOD DR",
            "address_2": "APT 302",
            "city": "PENN VALLEY",
            "state": "PA",
            "postal_code": "190721061",
            "telephone_number": "610-909-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 OAKWOOD DR",
            "address_2": "APT 302",
            "city": "PENN VALLEY",
            "state": "PA",
            "postal_code": "190721061",
            "telephone_number": "610-909-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETE DESIGN LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "MEYERSON",
        "authorized_official_first_name": "ALEKSANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-909-6633",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Penn Valley, PA
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• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.