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1689784217

NPI Code Detail

MEDICARE: ADVANCED PHYSICAL THERAPY

MEDICARE: ADVANCED PHYSICAL THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT012778L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01726303	OTHER	PA	HIGHMARK BLUE SHIELD
2	246902	OTHER	PA	HORIZON NJ PLUS
3	30023534	OTHER	PA	KEYSTONE MERCY
4	2395652000	OTHER	PA	INDEPENDENCE BLUE CROSS
5	3985602	OTHER		AETNA

General Provider Information

NPI Number	:	1689784217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	2127 RHAWN ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-3216
Country	:	US
Telephone Number	:	215-742-8099
Fax Number	:	215-742-1871

Provider Business Practice Location Address
First Line	:	2127 RHAWN ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-3216
Country	:	US
Telephone Number	:	215-742-8099
Fax Number	:	215-742-1871

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/OWNER
Name	:	MR. MICHAEL J BEAUDOIN
Credential	:	DPT
Telephone Number	:	215-742-8099

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	03/15/2016

Similar Medicare Providers

1861472078 — MR. MICHAEL BEAUDOIN DPT
Practice Location Address:

2127 RHAWN ST
PHILADELPHIA, PA
19152-3216

Practice Phone: 215-742-8099
Practice Fax: 215-742-1871

1083866396 — GUARDIAN DME, LLC
Practice Location Address:

2127 RHAWN ST
PHILADELPHIA, PA
19152-3216

Practice Phone: 215-742-8099
Practice Fax: 215-742-1871

1043620974 — MRS. LAUREN M ABERNETHY DPT
Practice Location Address:

2127 RHAWN ST
PHILADELPHIA, PA
19152-3216

Practice Phone: 215-742-8099
Practice Fax: 215-742-1871

1689050619 — JULIA CRUSEMIRE PT, DPT
Practice Location Address:

2127 RHAWN ST
PHILADELPHIA, PA
19152-3216

Practice Phone: 215-742-8099
Practice Fax:

1063086403 — DAVID MALONE
Practice Location Address:

2127 RHAWN ST
PHILADELPHIA, PA
19152-3216

Practice Phone: 215-742-8099
Practice Fax:

1104600519 — COLLEEN PLOTCHER PTA
Practice Location Address:

2127 RHAWN ST
PHILADELPHIA, PA
19152-3216

Practice Phone: 215-742-8099
Practice Fax: 215-742-1871

Directions to “ADVANCED PHYSICAL THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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