Provider Demographics
NPI:1093799348
Name:RIEPE, DAVID R (PT, CERT MDT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:R
Last Name:RIEPE
Suffix:
Gender:M
Credentials:PT, CERT MDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 AVALON CT
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2792
Mailing Address - Country:US
Mailing Address - Phone:201-519-2602
Mailing Address - Fax:
Practice Address - Street 1:3501 MASONS MILL RD
Practice Address - Street 2:SUITE 501
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006
Practice Address - Country:US
Practice Address - Phone:215-659-8600
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0173152251X0800X
NY022112-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic