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Contact Information

ADVANCED PHYSICAL THERAPY & SPORTS REHABILITATION
10100 JAMISON AVE
JCC GREATER NE
PHILADELPHIA, PA19116-3832
 Phone: 267-968-0381
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ADVANCED PHYSICAL THERAPY & SPORTS REHABILITATION

NPI Number 1326108119
LBN Legal business name ADVANCED PHYSICAL THERAPY & SPORTS REHABILITATION
Authorized official MIKHAIL SLOBODSKOI - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
PA License # PT018210
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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