Provider Demographics
NPI:1487924270
Name:JAMES M. KENSICKI, PC
Entity type:Organization
Organization Name:JAMES M. KENSICKI, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:KENSICKI
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT
Authorized Official - Phone:610-209-2596
Mailing Address - Street 1:4130 RITTENHOUSE LANE
Mailing Address - Street 2:P.O. BOX 707
Mailing Address - City:SKIPPACK
Mailing Address - State:PA
Mailing Address - Zip Code:19474
Mailing Address - Country:US
Mailing Address - Phone:610-209-2596
Mailing Address - Fax:
Practice Address - Street 1:314 N BROAD ST
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-3408
Practice Address - Country:US
Practice Address - Phone:215-230-8100
Practice Address - Fax:215-230-8892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT016650261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy