OLYMPIC REHABILITATION AND AQUATIC CENTER NPI 1972658003

NPI Information

  • NPI: 1972658003
  • Provider Name: OLYMPIC REHABILITATION AND AQUATIC CENTER
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 11040 RENNARD ST
    PHILADELPHIA, PA
    ZIP 19116
  • Phone: (215) 671-8909

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NPI Details

OLYMPIC REHABILITATION AND AQUATIC CENTER is a specialist in Philadelphia, PA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. OLYMPIC REHABILITATION AND AQUATIC CENTER NPI is 1972658003. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11040 RENNARD ST
PHILADELPHIA, PA
ZIP 19116-618
Phone: (215) 671-8909
Fax: (215) 671-0686

The provider's authorized official is Alex Ufberg .
The authorized official title is Licensed Physical Therapist and has the following contact phone number (215) 671-8909.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistPT-002109-EPENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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