Provider Demographics
NPI:1013179688
Name:APP PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:APP PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LASORDA
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:610-275-1353
Mailing Address - Street 1:1549 DEKALB ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3421
Mailing Address - Country:US
Mailing Address - Phone:610-275-1353
Mailing Address - Fax:610-277-7610
Practice Address - Street 1:1549 DEKALB ST
Practice Address - Street 2:SUITE 1
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3421
Practice Address - Country:US
Practice Address - Phone:610-275-1353
Practice Address - Fax:610-277-7610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT003661L320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0992004000OtherBLUE CROSS/BLUE SHIELD