Healthcare Provider Details

I. General information

NPI: 1255012324
Provider Name (Legal Business Name): TUMMY TIME ACADEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 07/31/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 NEUMANN DR
ASTON PA
19014
US

IV. Provider business mailing address

1200 E MAIN ST STE 2 #111
PALMYRA PA
17078-9517
US

V. Phone/Fax

Practice location:
  • Phone: 717-710-6920
  • Fax: 855-710-6454
Mailing address:
  • Phone: 717-710-6920
  • Fax: 855-710-6454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY ROSSNER
Title or Position: OWNER
Credential: PT, DPT
Phone: 717-710-6920