Provider Demographics
NPI:1033201728
Name:EMPOWER PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:EMPOWER PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT
Authorized Official - Phone:610-873-3076
Mailing Address - Street 1:470 JOHN YOUNG WAY SUITE 200
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2557
Mailing Address - Country:US
Mailing Address - Phone:610-873-3076
Mailing Address - Fax:610-873-3078
Practice Address - Street 1:470 JOHN YOUNG WAY SUITE 200
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2632
Practice Address - Country:US
Practice Address - Phone:610-873-3076
Practice Address - Fax:610-873-3078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-013690-L261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2452474000OtherINDEPENDENCE BLUE CROSS
PA1700866134OtherNPI INDIVIDUAL NUMBER
PAEM01768514OtherHIGHMARK BS
PA5662025OtherFIRST HEALTH
PA9401572OtherPHCS
PA096369Medicare UPIN
PA9401572OtherPHCS