Healthcare Provider Details

I. General information

NPI: 1265563076
Provider Name (Legal Business Name): REGIONAL PHYSICAL THERAPY ASSCOIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 07/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

637 S 52ND ST
PHILADELPHIA PA
19143-2630
US

IV. Provider business mailing address

PO BOX 526
NARBERTH PA
19072-0526
US

V. Phone/Fax

Practice location:
  • Phone: 215-471-0329
  • Fax: 215-471-9087
Mailing address:
  • Phone: 610-649-7885
  • Fax: 610-649-9291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT003581L
License Number StatePA

VIII. Authorized Official

Name: MR. THOMAS ANTHONY KANE
Title or Position: PRESIDENT
Credential: PT
Phone: 610-649-7885