Individual provider Active NPI

Bogdan Voshchilo, DPT

  • Physical Therapist
  • Wyncote, PA
National Provider Identifier
1013566413
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028075 Issued in PA
Practice address
1000 Easton Rd Ste 207
Wyncote, PA 19095-2900
Phone
(215) 517-7551
NPI assigned
Sep 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT028075 PA Primary

Addresses

Primary practice location

1000 Easton Rd Ste 207
Wyncote, PA 19095-2900

Mailing address

3330 Davisville Rd
Hatboro, PA 19040-4206

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200323000188 PA Practitioner - Physical Therapist in Private Practice 6901234178 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT, Inc. CurrentSince Jan 30, 2020 Accepting new patients
Rehabclinics (SPT), Inc. CurrentSince Jan 30, 2020 Accepting new patients
Rehabclinics (SPT), Inc. Physical Therapist Current Accepting new patients
Rehabclinics Galaxy Inc PastSince Sep 15, 2019 Accepting new patients

Locations

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

604 Commons Dr
Ste D3
Oxford, PA 19363
Phone (610) 932-3619

1000 Easton Rd
Ste 207
Wyncote, PA 19095
Phone (215) 517-7551

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1013566413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 DAVISVILLE RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190404206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EASTON RD STE 207",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190952900",
            "telephone_number": "215-517-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSHCHILO",
        "first_name": "BOGDAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyncote, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.