1750333548 NPI number — MCCABE PHYSICAL THERAPY, LLC

Table of content: (NPI 1750333548)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750333548 NPI number — MCCABE PHYSICAL THERAPY, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MCCABE PHYSICAL THERAPY, LLC
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:
1750333548
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
607 LOUIS DR
Provider Second Line Business Mailing Address:
SUITE H
Provider Business Mailing Address City Name:
WARMINSTER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18974-2843
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-675-2330
Provider Business Mailing Address Fax Number:
215-675-5807

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
607 LOUIS DR
Provider Second Line Business Practice Location Address:
SUITE H
Provider Business Practice Location Address City Name:
WARMINSTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18974-2843
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-675-2330
Provider Business Practice Location Address Fax Number:
215-675-5807
Provider Enumeration Date:
05/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCCABE
Authorized Official First Name:
FRANCIS
Authorized Official Middle Name:
WILLIAM
Authorized Official Title or Position:
PHYSICAL THERAPIST/OWNER
Authorized Official Telephone Number:
215-675-2330

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X , with the licence number:  PT-012628-L , 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: 0007778223 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2406362000 . This is a "BCBS/IBC/PC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 3933838 . This is a "AETNA HMO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0390125000 . This is a "AMEIHEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0256401 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: WA1738048 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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