Provider Demographics
NPI:1720971633
Name:THORPE, BRIAN E (PT)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:E
Last Name:THORPE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 W FORRESTVIEW RD
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:19015-3111
Mailing Address - Country:US
Mailing Address - Phone:484-802-1973
Mailing Address - Fax:
Practice Address - Street 1:128 W FORRESTVIEW RD
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:PA
Practice Address - Zip Code:19015-3111
Practice Address - Country:US
Practice Address - Phone:484-802-1973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0015060225100000X
PAPT00409-E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist