CEDARS THERAPY, LLC (NPI# 1720148158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720148158 |
| Entity Type | Organization |
| Organization Name | CEDARS THERAPY, LLC |
| Other Organization Name | CEDARS THERAPY, LLC |
| Practice Address |
45 N 3rd St Philadelphia PA 19106-4508 |
| Mailing Address |
51 N 3rd St # 302 Philadelphia PA 19106-4517 |
| Practice Telephone | 6099220814 |
| Mailing Telephone | 6099220814 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2012-03-15 |
| Authorized Official Name | MRS. IRENE MIZOBE CONNOLLY (DIRECTOR) |
| Authorized Official Telephone | 6099220814 |
| Authorized Official Credential | PT, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT006318L | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | PROVIDER TRANSACTION ACCESS NUMBER GROUP | 145254 | 01 |
| PA | PHYSICAL THERAPY LICEN | PT006318L | 01 |
| NJ | MEDICARE GROUP MEMBER NUMBER OR INDIVIDUAL PROVIDER TRANSACTION | 148676ZCSX | 01 |
| Other Name | Type Code |
|---|---|
| Cedars Therapy, LLC | Other Name - Individual/Organization |
| Street Address |
45 N 3RD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19106-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518034925 | Irene Mizobe Connolly X | Physical Therapist | 45 N 3rd St, Philadelphia, PA 19106-4508 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807245 | Jaclyn Isis Lisberger | Speech-Language Pathologist | 130 North 2nd Street-#2e, Philadelphia, PA 19106 | 2020-09-29 |
| 1356964159 | Michelle Copija | Nurse Anesthetist, Certified Registered | Society Hill Anesthesia Consultants, P.C., 301 S. 8th St Suite 2l, Philadelphia, PA 19106 | 2020-05-27 |
| 1811468929 | Old City Orthodontics LLC | Clinic/Center | 14 S 3rd Street, 1st Floor, Philadelphia, PA 19106 | 2018-12-16 |
| 1437627569 | Peter James Voystock | Social Worker | Veterans' Multi-service Center, 2nd Floor, 213-217 N 4th St, Philadelphia, PA 19106 | 2018-11-07 |
| 1467975334 | Aasiyah's Inc | Nurse's Aide | 325-41 Chestnut Street Suite 800, Suite 800, Philadelphia, PA 19106 | 2017-07-21 |
| 1457883043 | Jackie Kurland | Registered Nurse | 301 S 8th St Ste 2l, Philadelphia, PA 19106 | 2017-04-01 |
| 1669851655 | Amy Hardenbergh | Nurse Anesthetist, Certified Registered | 325 Chestnut Street, Suite 210, Society Hill Anesthesia Consultants, Philadelphia, PA 19106 | 2015-05-22 |
| 1790178820 | Bita Khoshrou | Dentist | 604 S Washington Square, Philadelphia, PA 19106 | 2015-03-13 |
| 1144667262 | Krystal Maloni | Surgery | 700 Spruce St Ste 101, Philadelphia, PA 19106 | 2013-05-30 |
| 1487099305 | Aimee E Wood | Social Worker | 233 South 6th St, Suite C33, Philadelphia, PA 19106 | 2013-05-06 |
| Find all providers in zip 19106 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510936 | Ally Wellness LLC | Clinic/Center | 7 S 43rd St Apt 1, Philadelphia, PA 19104-3797 | 2020-05-22 |
| 1295378388 | Masters Rehabilitation Center | Clinic/Center | 9 N 52nd St, Philadelphia, PA 19139-2644 | 2019-10-22 |
| 1003391376 | Physiomove LLC | Clinic/Center | 10050 Roosevelt Blvd Unit 11, Philadelphia, PA 19116-3965 | 2018-10-02 |
| 1700307329 | Bones Fitness Partnerships | Clinic/Center | 1528 Walnut St Ste 300, Philadelphia, PA 19102-3626 | 2017-07-05 |
| 1659811354 | Ascend Orthopaedics | Clinic/Center | 1500 Walnut St Ste 7001a, Philadelphia, PA 19102-3523 | 2017-02-28 |
| 1689067472 | Mydoc Urgent Care | Clinic/Center | 1420 Locust St Unit R1a, Philadelphia, PA 19102-4223 | 2015-03-18 |
| 1205228160 | Jerry A Toomer | Clinic/Center | 1610 Cecil B Moore Ave, Philadelphia, PA 19121-3210 | 2015-03-02 |
| 1568629681 | South Philadelphia Ps | Clinic/Center | 1 Reed St, Philadelphia, PA 19147-5501 | 2008-05-16 |
| 1356543615 | Pt-one, LLC | Clinic/Center | 1835 Market St, 2nd Floor, Philadelphia, PA 19103-2968 | 2007-05-31 |
| 1568581098 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 7000 Holstein Ave., Philadelphia, PA 19153 | 2007-03-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19106 |
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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.