Healthcare Provider Details

I. General information

NPI: 1326057472
Provider Name (Legal Business Name): ORTHOPAEDIC SURGERY & REHABILITATION ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 07/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 CENTRAL AVE SUITE 108
PHILADELPHIA PA
19111-2430
US

IV. Provider business mailing address

7500 CENTRAL AVE SUITE 108
PHILADELPHIA PA
19111-2430
US

V. Phone/Fax

Practice location:
  • Phone: 215-745-4050
  • Fax: 215-745-9333
Mailing address:
  • Phone: 215-745-4050
  • Fax: 215-745-9333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM J MARKMANN
Title or Position: PRESIDENT
Credential: MD
Phone: 215-745-4050