Healthcare Provider Details

I. General information

NPI: 1578556130
Provider Name (Legal Business Name): ARTHUR JOSEPH DUFFY III ATC, PT
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/29/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 UNIVERSITY PL WIDENER UNIVERSITY
CHESTER PA
19013-5700
US

IV. Provider business mailing address

1 UNIVERSITY PL WIDENER UNIVERSITY
CHESTER PA
19013-5700
US

V. Phone/Fax

Practice location:
  • Phone: 610-499-4445
  • Fax: 610-499-4481
Mailing address:
  • Phone: 610-499-4445
  • Fax: 610-499-4481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License NumberPT-005504-L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number40QA00513500
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberRT-00382-A
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: