Provider Demographics
NPI:1609887579
Name:THERAPY CHOICE, LLC
Entity Type:Organization
Organization Name:THERAPY CHOICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:DONAHUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-743-4435
Mailing Address - Street 1:10501 ACADEMY RD
Mailing Address - Street 2:UNIT N
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-1137
Mailing Address - Country:US
Mailing Address - Phone:215-743-4435
Mailing Address - Fax:215-743-8848
Practice Address - Street 1:10501 ACADEMY RD
Practice Address - Street 2:UNIT N
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1137
Practice Address - Country:US
Practice Address - Phone:215-743-4435
Practice Address - Fax:215-743-8848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT010629L225100000X
NJ40QA00643800225100000X
PAOC004531L225X00000X
NJ46TR00164100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA046298Medicare ID - Type UnspecifiedPA MEDICARE NUMBER
PACJ4726Medicare PIN
NJ045619Medicare ID - Type UnspecifiedNJ MEDICARE NUMBER