Individual provider Active NPI

Joshua Bryan Hetzelson, PT, DPT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1023848033
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT032541 Issued in PA
Practice address
2410 S Broad St Ste 101
Philadelphia, PA 19145-4418
Phone
(215) 334-4400
NPI assigned
Aug 5, 2024
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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 PT032541 PA Primary

Addresses

Primary practice location

2410 S Broad St Ste 101
Philadelphia, PA 19145-4418

Mailing address

230 Springhouse LN
Merion Station, PA 19066-1115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250409001430 PA Practitioner - Physical Therapist in Private Practice 1557885738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Physical Therapy, LLCGroup PAC ID 9032172689, 14 clinicians

Practice addresses (Care Compare)

940 E Haverford Rd
Suite 200
Bryn Mawr, PA 19010-3845
Phone (610) 527-0178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patch Technique PLLC CurrentSince Mar 21, 2025 Accepting new patients
Integrated Physical Therapy, LLC Physical Therapist CurrentSince Mar 21, 2025 Accepting new patients

Locations

940 E Haverford Rd
Ste 200
Bryn Mawr, PA 19010
Phone (610) 527-0178

357 S Gulph Rd
Ste 310
Kng of Prussa, PA 19406
Phone (610) 265-2230

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1023848033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SPRINGHOUSE LN",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 S BROAD ST STE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454418",
            "telephone_number": "215-334-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETZELSON",
        "first_name": "JOSHUA",
        "middle_name": "BRYAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.