Provider Demographics
NPI:1265563076
Name:REGIONAL PHYSICAL THERAPY ASSCOIATES
Entity type:Organization
Organization Name:REGIONAL PHYSICAL THERAPY ASSCOIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:610-649-7885
Mailing Address - Street 1:PO BOX 526
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-0526
Mailing Address - Country:US
Mailing Address - Phone:610-649-7885
Mailing Address - Fax:610-649-9291
Practice Address - Street 1:637 S 52ND ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-2630
Practice Address - Country:US
Practice Address - Phone:215-471-0329
Practice Address - Fax:215-471-9087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT003581L2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty