Provider Demographics
NPI:1407875388
Name:JOSEPH S. DAY, PC
Entity Type:Organization
Organization Name:JOSEPH S. DAY, PC
Other - Org Name:SOUDERTON REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:215-723-9069
Mailing Address - Street 1:PO BOX 64154
Mailing Address - Street 2:
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-0154
Mailing Address - Country:US
Mailing Address - Phone:215-723-9069
Mailing Address - Fax:215-723-7791
Practice Address - Street 1:18 GREEN ST
Practice Address - Street 2:
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964-1702
Practice Address - Country:US
Practice Address - Phone:215-723-9069
Practice Address - Fax:215-723-7791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006574L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA396740Medicare ID - Type Unspecified