Provider Demographics
NPI:1619158557
Name:PROFESSIONAL PHYSICAL THERAPY SERVICES INC
Entity Type:Organization
Organization Name:PROFESSIONAL PHYSICAL THERAPY SERVICES INC
Other - Org Name:PPTS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THERESE
Authorized Official - Middle Name:C
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:215-860-2888
Mailing Address - Street 1:320 MILL RACE LN
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-2810
Mailing Address - Country:US
Mailing Address - Phone:215-860-2888
Mailing Address - Fax:215-860-7458
Practice Address - Street 1:320 MILL RACE LANE
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-2810
Practice Address - Country:US
Practice Address - Phone:215-860-2888
Practice Address - Fax:215-860-7458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT005324L225100000X
NJ40QA00305800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0211600OtherORTHOMET
204305OtherMULTIPLAN
PAPR1591819OtherHIGHMARK BS
PA0211600OtherCIGNAHEALTHCARE OF PA INC