NPIMap

Organization Active NPI

Iaccarino Health Group, Inc.

  • Physical Therapist
  • Ambler, PA
National Provider Identifier
1053829671
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT022477 Issued in PA
Legal business name
IACCARINO HEALTH GROUP, INC.
Practice address
901 N Bethlehem Pike
Ambler, PA 19002-1306
Phone
(267) 462-4738
Fax
(267) 462-4742
NPI assigned
Jan 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Dennis Anthony Iaccarino, DPT, PTNPI 1538404066
Title
President
Phone
(267) 462-4738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT022477 PA Primary

Addresses

Primary practice location

901 N Bethlehem Pike
Ambler, PA 19002-1306

Mailing address

901 N Bethlehem Pike
Ambler, PA 19002-1306
Phone (267) 462-4738

Other names 1

  • Blue Bell Physical Therapy of Spring House Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180404001435 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789947706 Receives reassigned benefits from 3 practitioners
Practice locations: Ambler, PA

National Provider Directory

National Provider Directory

Locations

901 N Bethlehem Pike
Lower Gwynedd, PA 19002
Phone (267) 462-4738

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1053829671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N BETHLEHEM PIKE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190021306",
            "telephone_number": "267-462-4738",
            "fax_number": "267-462-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N BETHLEHEM PIKE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190021306",
            "telephone_number": "267-462-4738",
            "fax_number": "267-462-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IACCARINO HEALTH GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "IACCARINO",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-462-4738",
        "authorized_official_credential": "DPT, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Bell Physical Therapy of Spring House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ambler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.