Provider Demographics
NPI:1942209705
Name:RESPIRATORY THERAPY ASSOCIATES OF PA, LTD
Entity Type:Organization
Organization Name:RESPIRATORY THERAPY ASSOCIATES OF PA, LTD
Other - Org Name:RESPIRA MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-200-0055
Mailing Address - Street 1:521 PROGRESS DR
Mailing Address - Street 2:SUITE A-C
Mailing Address - City:LINTHICUM
Mailing Address - State:MD
Mailing Address - Zip Code:21090-2241
Mailing Address - Country:US
Mailing Address - Phone:443-200-0055
Mailing Address - Fax:443-200-0054
Practice Address - Street 1:255 WILMINGTON W CHESTER PIKE
Practice Address - Street 2:SUITE 2
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9039
Practice Address - Country:US
Practice Address - Phone:610-558-6222
Practice Address - Fax:610-558-6226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-14
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000003660332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0002572000OtherHMO INDEPENDENCE B/C
DE0000396816Medicaid
540719OtherAETNA HMO
PA219792OtherPA BLUE SHIELD
DE0000396816Medicaid