Provider Demographics
NPI:1356323760
Name:SEYKOT, JAMES J (PT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:SEYKOT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1338 BRISTOL PIKE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-5679
Mailing Address - Country:US
Mailing Address - Phone:215-633-9080
Mailing Address - Fax:215-633-9950
Practice Address - Street 1:1338 BRISTOL PIKE
Practice Address - Street 2:SUITE 203
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-5679
Practice Address - Country:US
Practice Address - Phone:215-633-9080
Practice Address - Fax:215-633-9950
Is Sole Proprietor?:No
Enumeration Date:2005-11-19
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT009811L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA046893Medicare PIN