Provider Demographics
NPI:1104945856
Name:THERAPY ALTERNATIVES
Entity type:Organization
Organization Name:THERAPY ALTERNATIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ZEGAR ZIMMER
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:610-505-5346
Mailing Address - Street 1:148 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-1016
Mailing Address - Country:US
Mailing Address - Phone:610-416-8740
Mailing Address - Fax:610-565-1815
Practice Address - Street 1:148 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-1016
Practice Address - Country:US
Practice Address - Phone:610-416-8740
Practice Address - Fax:610-565-1815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT13764L225100000X, 2251P0200X
PAOC007162L225X00000X, 225XP0200X
PASL004980L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Not Answered225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1013866350001Medicaid
PA1013866350001Medicaid
PA1009742850002Medicare ID - Type UnspecifiedDONNA SASSAMAN MA #
PA0018228010004Medicare ID - Type UnspecifiedKIMBERLY ERSIN MA #