Active NPI
Personal Touch Rehab and Fitness
- Neurology Physical Therapist
- Southampton, PA
National Provider Identifier
1003095324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- PT015515
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 078730 | Other | PA | PTAN |
| 1019816960001 | Medicaid | PA | |
| 078730 | Other | PA | MEDICARE GROUP |
Other names 2
- American/Dutch Physical Therapy
- Vadim Brodsky Physical Therapist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040618000680 | PA | Part B Supplier - Clinic/Group Practice | 5395720031 |
Receives reassigned benefits from 1 practitioner Practice locations: Southampton, PA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- West Orange, NJ
- NPI 1346391422
-
- Occupational Therapist
- Cherry Hill, NJ
- NPI 1932268331
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
- Kathleen Steiner Pearson, CRNP
- Pediatric Dental Assoc LTD
- Pennsylvania Regional Orthopedics LLC
- Jessica Perchaluk, OTD, MS, OTR/L, CHT
- Perform Home Healthcare Inc.
- Philadelphia Tongue and Liptie Center, PLLC
- Ashley Philip, PMHNP-BC
- Amanda Phillips, LSW
- Sharon Pinchick-Janicki, RPH
- Michael A Piszel, DC
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.