1649277708 NPI number — H/S THERAPY ASSOCIATES, INC.

Table of content: (NPI 1649277708)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649277708 NPI number — H/S THERAPY ASSOCIATES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
H/S THERAPY ASSOCIATES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649277708
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/07/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2740 SHELLY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARLEYSVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19438-1281
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-513-1816
Provider Business Mailing Address Fax Number:
215-513-1785

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2740 SHELLY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARLEYSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19438-1281
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-513-1816
Provider Business Practice Location Address Fax Number:
215-513-1785
Provider Enumeration Date:
07/05/2005

Additional Information

Authorized Official

Authorized Official Last Name:
CIUBA
Authorized Official First Name:
FRANK
Authorized Official Middle Name:
JOSEPH
Authorized Official Title or Position:
OWNER/PHYSICAL THERAPIST
Authorized Official Telephone Number:
215-513-1816

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  PT002940E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 001621438 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 927665 . This is a "BLUE CROSS & BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2101185 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1031910 . This is a "KEYSTONE MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: I27665 . This is a "AMERIHEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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