Provider Demographics
NPI:1205454618
Name:COMMONS, FALLON (DPT, MPH)
Entity type:Individual
Prefix:
First Name:FALLON
Middle Name:
Last Name:COMMONS
Suffix:
Gender:
Credentials:DPT, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 STATE HILL RD
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1993
Mailing Address - Country:US
Mailing Address - Phone:484-628-0301
Mailing Address - Fax:
Practice Address - Street 1:2101 STATE HILL RD
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1993
Practice Address - Country:US
Practice Address - Phone:484-628-0301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-13
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT028510225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist