Provider Demographics
NPI:1790231942
Name:PAYNE, ASIA D (DPT)
Entity Type:Individual
Prefix:DR
First Name:ASIA
Middle Name:D
Last Name:PAYNE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:299 E SWEDESFORD RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-1462
Mailing Address - Country:US
Mailing Address - Phone:484-584-0260
Mailing Address - Fax:215-727-2905
Practice Address - Street 1:9337 KREWSTOWN RD # 39
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-3710
Practice Address - Country:US
Practice Address - Phone:215-676-6790
Practice Address - Fax:215-676-3746
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVPT003695225100000X
PAPT025557225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist