Individual provider Active NPI

Bryan J Seder, MPT

  • Physical Therapist
  • Feasterville Trevose, PA
National Provider Identifier
1043229230
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008966L Issued in PA
Practice address
1105 Renee Cir
Feasterville Trevose, PA 19053-4106
Phone
(215) 327-1693
Fax
(215) 754-0577
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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 PT008966L PA Primary

Addresses

Primary practice location

1105 Renee Cir
Feasterville Trevose, PA 19053-4106

Mailing address

1105 Renee Cir
Feasterville Trevose, PA 19053-4106
Phone (215) 327-1693

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110607000423 PA Practitioner - Physical Therapist in Private Practice 5395792279 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seder Physical Therapy LLC Physical Therapist CurrentSince Jan 1, 2002 Accepting new patients

Locations

411 Township Line Rd
Elkins Park, PA 19027
Phone (215) 277-7132

Organizations & group practices 1

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1043229230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 RENEE CIR",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190534106",
            "telephone_number": "215-327-1693",
            "fax_number": "215-754-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 RENEE CIR",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190534106",
            "telephone_number": "215-327-1693",
            "fax_number": "215-754-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDER",
        "first_name": "BRYAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008966L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.