Provider Demographics
NPI:1609045996
Name:MONTEMURO, RICHARD-ALAN (PT)
Entity Type:Individual
Prefix:MR
First Name:RICHARD-ALAN
Middle Name:
Last Name:MONTEMURO
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 1:1208 HARPERS XING
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-4501
Mailing Address - Country:US
Mailing Address - Phone:215-852-7618
Mailing Address - Fax:267-560-5865
Practice Address - Street 1:1208 HARPERS XING
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-4501
Practice Address - Country:US
Practice Address - Phone:215-852-7618
Practice Address - Fax:267-560-5865
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006693L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAM0000859Medicare PIN