Individual provider Active NPI

Carol Anne Dillon, DO

  • Physical Medicine & Rehabilitation Physician
  • Warminster, PA
National Provider Identifier
1053306290
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS011854 Issued in PA
Practice address
205 Newtown Rd
Suite 104
Warminster, PA 18974-5206
Phone
(215) 674-3337
Fax
(215) 674-4247
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS011854 PA Primary

Addresses

Primary practice location

205 Newtown Rd
Suite 104
Warminster, PA 18974-5206

Mailing address

205 Newtown Rd
Suite 104
Warminster, PA 18974-5206
Phone (215) 674-3337

Other identifiers 3

IdentifierTypeStateIssuer
7579493OtherAETNA PPO
2238420000OtherKHPE
1866307OtherAETNA HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040312000015 PA Practitioner - Physical Medicine and Rehabilitation 3476442070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Philadelphia College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Rehabilitation Associates LLCGroup PAC ID 2466523881, 17 clinicians

Practice addresses (Care Compare)

2510 Maryland Rd
Suite 150
Willow Grove, PA 19090-1143
Phone (215) 674-3337

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS011854PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amh Medical Staff Service Fund Physical Medicine & Rehabilitation CurrentSince Sep 13, 2010 Accepting new patients
Abington Rehabilitation Associates, LLC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2008 Accepting new patients
Abington Rehabilitation Medicine Physical Medicine & Rehabilitation Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

205 Newtown Rd
Ste 104
Warminster, PA 18974
Phone (215) 674-3337

2510 Maryland Rd
Ste 200
Willow Grove, PA 19090

611 Easton Rd
Unit 475
Willow Grove, PA 19090

2510 Maryland Rd
Ste 150
Willow Grove, PA 19090
Phone (215) 674-3337

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1053306290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 NEWTOWN RD",
            "address_2": "SUITE 104",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189745206",
            "telephone_number": "215-674-3337",
            "fax_number": "215-674-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 NEWTOWN RD",
            "address_2": "SUITE 104",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189745206",
            "telephone_number": "215-674-3337",
            "fax_number": "215-674-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "CAROL ANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS011854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7579493",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHPE",
            "identifier": "2238420000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1866307",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

Verify at the official NPI Registry.