Provider Demographics
NPI:1285633644
Name:KING & ASSOCIATES PHYSICAL THERAPY, INC
Entity Type:Organization
Organization Name:KING & ASSOCIATES PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:717-840-4149
Mailing Address - Street 1:1010 PLYMOUTH RD STE C
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-3864
Mailing Address - Country:US
Mailing Address - Phone:717-840-4149
Mailing Address - Fax:717-840-9049
Practice Address - Street 1:1010 PLYMOUTH RD STE C
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3864
Practice Address - Country:US
Practice Address - Phone:717-840-4149
Practice Address - Fax:717-840-9049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-19
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
114594OtherHA
2225991OtherAETNA
PA01974801OtherCBC
02813700OtherCBC
119000800OtherACS
338294OtherMAMSI
742220OtherHIGHMARK
MDLP78KI R735OtherGROUP #-CARE FIRST
MD52699602OtherCARE FIRST
S2218Medicare UPIN
617825NSNMedicare ID - Type Unspecified