Provider Demographics
NPI:1336370071
Name:ALLIED THERAPY ASSOCIATES LLC
Entity type:Organization
Organization Name:ALLIED THERAPY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:PETERY
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:484-681-9466
Mailing Address - Street 1:1246 W MAIN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-4365
Mailing Address - Country:US
Mailing Address - Phone:484-681-9466
Mailing Address - Fax:484-681-9467
Practice Address - Street 1:1246 W MAIN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-4365
Practice Address - Country:US
Practice Address - Phone:484-681-9466
Practice Address - Fax:484-681-9467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-29
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007947L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty