SPORTS AND BACK REHABILITATION INC (NPI# 1245273127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245273127 |
| Entity Type | Organization |
| Organization Name | SPORTS AND BACK REHABILITATION INC |
| Practice Address |
370 E Maple Ave Suite 103 Langhorne PA 19047-2859 |
| Practice Telephone | 2157524553 |
| Practice Fax Number | 2157520703 |
| Mailing Telephone | 2157524553 |
| Mailing Fax Number | 2157520703 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2011-04-18 |
| Authorized Official Name | LINDA M PETERS (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2157524553 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA | 0053616 | 01 |
| PA | INDEPENDENCE BLUE CROSS | 0423943000 | 01 |
| Street Address |
370 E MAPLE AVE SUITE 103 |
| City | LANGHORNE |
| State | PA |
| Zip Code | 19047-2859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154710259 | Rebecca Blank | Physical Therapist | 370 E Maple Ave, Suite 103, Langhorne, PA 19047-2859 | 2015-01-13 |
| 1639579980 | Christopher Lucas | Physical Therapist | 370 E Maple Ave, Langhorne, PA 19047-2859 | 2014-08-23 |
| 1508115056 | Sports and Back Pt LLC | Clinic/Center | 370 E Maple Ave, Suite 103, Langhorne, PA 19047-2859 | 2012-08-30 |
| 1114039120 | Tina M Mathew | Physical Therapist | 370 E Maple Ave, Suite 103, Langhorne, PA 19047-2859 | 2006-08-31 |
| 1184667297 | Jacqueline M Borman | Specialist | 370 E Maple Ave, Suite 103, Langhorne, PA 19047-2859 | 2006-06-14 |
| 1831132976 | Linda M Peters | Specialist | 370 E Maple Ave, Suite 103, Langhorne, PA 19047-2859 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799733 | Traci Anne Lordan | Counselor | 1717 Newtown-langhorne Rd Suite 304, Langhorne, PA 19047 | 2020-10-29 |
| 1407475973 | Midiia Shuman | Student in an Organized Health Care Education/Training Program | 1201 Langhorne Newtown Rd., St. Mary Medical Center, Langhorne, PA 19047 | 2020-04-14 |
| 1750923579 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Road Suite 215, Langhorne, PA 19047 | 2019-10-14 |
| 1487211173 | Avantika Gul Israni | Student in an Organized Health Care Education/Training Program | 1201 Langhorne-newtown Road, St. Mary Medical Center, Langhorne, PA 19047 | 2019-05-29 |
| 1861955155 | Jordesha Mariska Hodge | Student in an Organized Health Care Education/Training Program | 1201 Langhorne - Newton Rd., Langhorne, PA 19047 | 2019-04-12 |
| 1932673456 | Kenneth Nagy | Physical Therapy Assistant | 310 E Winchester Ave, Langhorne, PA 19047 | 2019-01-17 |
| 1104398635 | Woods Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Allgair Cottage, 96 Oakwood Doive, Langhorne, PA 19047 | 2018-12-21 |
| 1356819411 | Mitchell Perry | Physician Assistant | 1203 Newtown-langhorne Rd, #220, Langhorne, PA 19047 | 2018-11-07 |
| 1609353291 | Eye and Facial Plastic Surgery Consultants LLC | Ophthalmology | 1203 Newtown-langhorne Road, Suite 120, Langhorne, PA 19047 | 2018-07-26 |
| 1760969992 | Your Orthodontist | Dentist | 586 Middletown Blvd Ste C10, Langhorne, PA 19047 | 2018-07-20 |
| Find all providers in zip 19047 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455377 | Dizzy Brain and Balance Specialists LLC | Clinic/Center | 484 Maple Point Dr, Langhorne, PA 19047-1473 | 2020-04-08 |
| 1508115056 | Sports and Back Pt LLC | Clinic/Center | 370 E Maple Ave, Suite 103, Langhorne, PA 19047-2859 | 2012-08-30 |
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| 1811510936 | Ally Wellness LLC | Clinic/Center | 7 S 43rd St Apt 1, Philadelphia, PA 19104-3797 | 2020-05-22 |
| 1811516339 | Alyssa Haveson | Clinic/Center | 23 Sentinel Rd, Washington Crossing, PA 18977-1142 | 2020-04-14 |
| 1891326427 | Joshua David Finley | Clinic/Center | 918 Truepenny Rd, Media, PA 19063-1634 | 2020-02-02 |
| 1487285003 | Adamson Therapy Services, LLC | Clinic/Center | 35 S West St Ste B, Waynesburg, PA 15370-2029 | 2020-02-02 |
| 1538799796 | Sirona Therapy P.C. | Clinic/Center | 220 W Plum St Ste 335, Edinboro, PA 16412-2167 | 2020-01-16 |
| 1326683095 | Drayer Physical Therapy Institute LLC | Clinic/Center | 702 Creekside Ln, Lititz, PA 17543-6826 | 2019-11-16 |
| 1396380150 | Sfas Physical Therapy LLC | Clinic/Center | 347a Old Curry Hollow Rd, Pittsburgh, PA 15236-4608 | 2019-11-14 |
| 1689219529 | Drayer Physical Therapy Institute LLC | Clinic/Center | 299 Westminster Dr Ste 202a, Carlisle, PA 17013-3179 | 2019-11-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.