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ADVANCED PHYSICAL THERAPY & SPORTS REHABILITATION NPI 1326108119


NPI Information

NPI: 1326108119
Provider Name: ADVANCED PHYSICAL THERAPY & SPORTS REHABILITATION
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
10100 JAMISON AVE
JCC GREATER NE
PHILADELPHIA, PA
ZIP 19116
Phone: (267) 968-0381
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ADVANCED PHYSICAL THERAPY & SPORTS REHABILITATION is a specialist in Philadelphia, PA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ADVANCED PHYSICAL THERAPY & SPORTS REHABILITATION NPI is 1326108119. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10100 JAMISON AVE
JCC GREATER NE
PHILADELPHIA, PA
ZIP 19116-832
Phone: (267) 968-0381

The provider's authorized official is Mikhail Slobodskoi .
The authorized official title is Manager and has the following contact phone number (267) 242-0077.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistPT018210PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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