NPIMap

Organization Active NPI

Athlete Design Labs, LLC

  • Physical Therapist
  • Penn Valley, PA
National Provider Identifier
1982915708
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jun 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Aleksandra Meyerson, DPTNPI 1700102654
Title
Owner
Phone
(610) 909-6633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT017244 PA Primary

Addresses

Primary practice location

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

Mailing address

1640 Oakwood Dr
Apt 302
Penn Valley, PA 19072-1061
Phone (610) 909-6633

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Penn Valley, PA

Sources for this page

  • 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.