CONSHOHOCKEN PHYSICAL THERAPY INC (NPI# 1912091190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912091190 |
| Entity Type | Organization |
| Organization Name | CONSHOHOCKEN PHYSICAL THERAPY INC |
| Practice Address |
20 E 11th Ave Conshohocken PA 19428-1555 |
| Practice Telephone | 6108287595 |
| Practice Fax Number | 6108287505 |
| Mailing Telephone | 6108287595 |
| Mailing Fax Number | 6108287505 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-07-08 |
| Authorized Official Name | DR. DESIREA D CAUCCI (PRESIDENT) |
| Authorized Official Telephone | 6108287595 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT015693 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | FIRST HEALTH | 5630094 | 01 |
| PA | HIGHMARK BS INDIVIDUAL | 1417588 | 01 |
| PA | INDEPENDENCE BC INDIV | 2103996000 | 01 |
| PA | AETNA NON PAR | 3498858 | 01 |
| PA | AWCA GROUP | 7051525 | 01 |
| PA | AMERIHEALTH ADMINISTRATOR | 17588 | 01 |
| PA | NCPPO | 737511 | 01 |
| PA | ORTHONET | 0220700 | 01 |
| PA | INDEPENDENCE BC GROUP | 2402306 | 01 |
| PA | HIGHMARK BS GROUP | 1732275 | 01 |
| PA | UNITED HEALTHCARE/ACN | 700260 | 01 |
| PA | INDIVIDUAL NPI | 1881699213 | 01 |
| PA | AWCA INDIVIDUAL | 7385670 | 01 |
| PA | CIGNA | 8279722 | 01 |
| Street Address |
20 E 11TH AVE |
| City | CONSHOHOCKEN |
| State | PA |
| Zip Code | 19428-1555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538610431 | Good Shepherd Penn Partners Penn Specialty Hospital | Clinic/Center | 20 E 11th Ave, Conshohocken, PA 19428-1555 | 2016-10-17 |
| 1215336060 | Jory Davis | Physical Therapist | 20 E 11th Ave, Conshohocken, PA 19428-1555 | 2014-08-18 |
| 1467869842 | Renee Bailey | Physical Therapy Assistant | 20 E 11th Ave, Conshohocken, PA 19428-1555 | 2014-07-17 |
| 1235575267 | Meghan Lass | Physical Therapist | 20 E 11th Ave, Conshohocken, PA 19428-1555 | 2013-05-16 |
| 1457658510 | Christopher T Wickel | Physical Therapist | 20 E 11th Ave, Conshohocken, PA 19428-1555 | 2011-02-24 |
| 1669700878 | Steven M Azar | Physical Therapist | 20 E 11th Ave, Conshohocken, PA 19428-1555 | 2009-11-28 |
| 1225259005 | Ann Mclaughlin | Physical Therapist | 20 E 11th Ave, Conshohocken, PA 19428-1555 | 2007-05-01 |
| 1932226651 | Nicole Marie Dobrin | Physical Therapist | 20 E 11th Ave, Conshohocken, PA 19428-1555 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395149 | Kellan Katra | Physician Assistant | 400 Fayette Street, Suite 180, Conshohocken, PA 19428 | 2020-01-10 |
| 1275170151 | Barbara G. Hedges-hoffman | Counselor | 20 E 9th Ave Ste 100, Conshohocken, PA 19428 | 2019-12-10 |
| 1184102105 | Experience Chiropractic East, LLC | Chiropractor | 3038 Butler Pike, Conshohocken, PA 19428 | 2018-08-01 |
| 1861986713 | Bridget Mary Parkes | Speech-Language Pathologist | 301 Harry St, Conshohocken, PA 19428 | 2018-06-14 |
| 1588155857 | Intouch Med Supply | Mastectomy Fitter | 529 Fayette St, Conshohocken, PA 19428 | 2018-05-22 |
| 1841796711 | Davita Medical Group Philadelphia, LLC | Internal Medicine | 300 Four Falls Corporate Center, 300 Conshohocken State Rd., West Conshohocken, PA 19428 | 2018-04-01 |
| 1538600853 | Dermone Dermatology Associates of The Keystone State, P.c | Dermatology | 200 Barr Harbor Drive, Four Tower Bridge, Suite 200, West Conshohocken, PA 19428 | 2017-03-20 |
| 1891156766 | Kaitlyn Oliver | Speech-Language Pathologist | 1200 River Road, Aim Academy-, Conshohocken, PA 19428 | 2016-03-18 |
| 1992122782 | Titleman Orthopedics LLC | Prosthetic/Orthotic Supplier | 1100 E Hector St Ste 390, Conshohocken, PA 19428 | 2014-03-18 |
| 1447543004 | Barbara P. Mastriano | Speech-Language Pathologist | One West Elm St. Suite 100, Mercylife Program, Conshohocken, PA 19428 | 2011-05-16 |
| Find all providers in zip 19428 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718182 | Prosourcept LLC | Clinic/Center | 421 W 5th Ave, Conshohocken, PA 19428-1671 | 2020-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827835 | Move More LLC | Clinic/Center | 630 Meadow Ln, Harleysville, PA 19438-1639 | 2020-09-26 |
| 1649898073 | Trinity Rehab Somerset Pa | Clinic/Center | 2826 S Eagle Rd # No1-21, Newtown, PA 18940-1543 | 2020-07-13 |
| 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 |
| 1104455377 | Dizzy Brain and Balance Specialists LLC | Clinic/Center | 484 Maple Point Dr, Langhorne, PA 19047-1473 | 2020-04-08 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CONSHOHOCKEN |
| Zip Code | 19428 |
Please comment or provide details below to improve the information on CONSHOHOCKEN PHYSICAL THERAPY INC.
| 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.