NPIMap

Organization Active NPI

Orthopedic and Sports Physical Therapy Services, Inc.

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1992755698
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORTHOPEDIC AND SPORTS PHYSICAL THERAPY SERVICES, INC.
Practice address
9389 Krewstown Rd
Northeast Racquet Club & Fitness Center
Philadelphia, PA 19115-3710
Phone
(215) 676-6760
Fax
(215) 676-3746
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Jeffrey Robert Ostrowski, PT
Title
Ceo
Phone
(215) 629-3837

Specialties & licenses 1

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

Addresses

Primary practice location

9389 Krewstown Rd
Northeast Racquet Club & Fitness Center
Philadelphia, PA 19115-3710

Mailing address

420 Bainbridge St
Philadelphia, PA 19147-1568
Phone (215) 629-3837

Other identifiers 6

IdentifierTypeStateIssuer
0213007OtherPAORTHONET
0444631000OtherPABCBS HMO GROUP#
966448OtherPABCBS PPO GROUP #
118100602OtherPAUS DEPT OF LABOR
99493OtherPAAETNA HMO GROUP#
4566762OtherPAAETNA PPO GROUP#

Other names 1

  • Excel Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Excel Physical Therapy11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9389 Krewstown Rd
Philadelphia, PA 19115
Phone (215) 676-6760

Practitioners & affiliated clinicians

Practitioners 1

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1992755698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 BAINBRIDGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471568",
            "telephone_number": "215-629-3837",
            "fax_number": "215-629-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9389 KREWSTOWN RD",
            "address_2": "NORTHEAST RACQUET CLUB & FITNESS CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153710",
            "telephone_number": "215-676-6760",
            "fax_number": "215-676-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC AND SPORTS PHYSICAL THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "OSTROWSKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-629-3837",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET",
            "identifier": "0213007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HMO GROUP#",
            "identifier": "0444631000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PPO GROUP #",
            "identifier": "966448",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "118100602",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO GROUP#",
            "identifier": "99493",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO GROUP#",
            "identifier": "4566762",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.