Organization Active NPI

Fresh Start Physical Therapy LLC

  • Physical Therapist
  • Havertown, PA
National Provider Identifier
1053938068
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FRESH START PHYSICAL THERAPY LLC
Practice address
310 Bewley Rd
Havertown, PA 19083-5316
Phone
(267) 279-9086
Fax
(267) 651-9451
NPI assigned
Jun 25, 2020
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Dr. Arthur Ronald Ngo, PT, DPTNPI 1366061392
Title
Owner/Ceo
Phone
(610) 547-7154

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

310 Bewley Rd
Havertown, PA 19083-5316

Mailing address

310 Bewley Rd
Havertown, PA 19083-5316
Phone (267) 279-9086

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200713000035 PA Part B Supplier - Clinic/Group Practice 9638592462 Receives reassigned benefits from 3 practitioners
Practice locations: Havertown, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1053938068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BEWLEY RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835316",
            "telephone_number": "267-279-9086",
            "fax_number": "267-651-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BEWLEY RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835316",
            "telephone_number": "267-279-9086",
            "fax_number": "267-651-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "610-547-7154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.