Provider Demographics
NPI:1326060211
Name:DRESHER PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:DRESHER PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:EAKINS
Authorized Official - Last Name:SEABROOK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:215-619-4545
Mailing Address - Street 1:1075 VIRGINIA DR STE 200
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-3108
Mailing Address - Country:US
Mailing Address - Phone:215-619-4545
Mailing Address - Fax:215-619-4555
Practice Address - Street 1:1075 VIRGINIA DR STE 200
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-3108
Practice Address - Country:US
Practice Address - Phone:215-619-4545
Practice Address - Fax:215-619-4555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1326060211Medicaid