Organization Active NPI

Personal Touch Rehab and Fitness

  • Neurology Physical Therapist
  • Southampton, PA
National Provider Identifier
1003095324
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
PT015515 Issued in PA
Legal business name
PERSONAL TOUCH REHAB AND FITNESS
Practice address
150 James Way
Southampton, PA 18966-3818
Phone
(215) 635-5575
Fax
(215) 635-5456
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Maria Brodsky
Title
Office Manager
Phone
(215) 635-5575

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251N0400X PT015515 PA Primary
Point of Service 305S00000X PT015515 PA

Addresses

Primary practice location

150 James Way
Southampton, PA 18966-3818

Mailing address

3538 Oriole Dr
Huntingdon Valley, PA 19006-3412
Phone (215) 635-5575

Other practice location 1

2 Roy Ln
Huntingdon Valley, PA 19006-3112
Phone (215) 635-5575

Other practice location 2

8118 Old York Road, UL
Elkins Park, PA 19027-1900
Phone (215) 635-5575

Other identifiers 3

IdentifierTypeStateIssuer
078730OtherPAPTAN
1019816960001MedicaidPA
078730OtherPAMEDICARE GROUP

Other names 2

  • American/Dutch Physical Therapy Doing business as
  • Vadim Brodsky Physical Therapist Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040618000680 PA Part B Supplier - Clinic/Group Practice 5395720031 Receives reassigned benefits from 1 practitioner
Practice locations: Southampton, PA

National Provider Directory

National Provider Directory

Locations

7900 Old York Rd
Ste 110A
Elkins Park, PA 19027
Phone (215) 635-5575

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1003095324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3538 ORIOLE DR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063412",
            "telephone_number": "215-635-5575",
            "fax_number": "215-635-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 JAMES WAY",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663818",
            "telephone_number": "215-635-5575",
            "fax_number": "215-635-5456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Roy Ln",
            "address_purpose": "LOCATION",
            "city": "Huntingdon Valley",
            "state": "PA",
            "postal_code": "190063112",
            "country_code": "US",
            "telephone_number": "215-635-5575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8118 Old York Road, UL",
            "address_purpose": "LOCATION",
            "city": "Elkins Park",
            "state": "PA",
            "postal_code": "190271900",
            "country_code": "US",
            "telephone_number": "215-635-5575",
            "fax_number": "215-635-5456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERSONAL TOUCH REHAB AND FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "BRODSKY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-635-5575",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": "PA",
            "license": "PT015515",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "PA",
            "license": "PT015515",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "078730",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019816960001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "078730",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American/Dutch Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American/Dutch Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vadim Brodsky Physical Therapist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.