=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679989982
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EMBRACE PHYSICAL THERAPY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2014
-----------------------------------------------------
Last Update Date | 10/02/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 65 E BUTLER AVE SUITE 101
-----------------------------------------------------
City | NEW BRITAIN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18901-5211
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 267-221-1241
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 44 MYSTIC VIEW LN
-----------------------------------------------------
City | DOYLESTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18901-2042
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 267-221-1241
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LOUELLEN KARTHAUS
-----------------------------------------------------
Credential | P.T., CLT
-----------------------------------------------------
Telephone | 267-221-1241
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------