Bounce Back Physical Therapy Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BOUNCE BACK PHYSICAL THERAPY INC.

Practice address

74 Rittenhouse PL
Ardmore, PA 19003-2227

Phone

(484) 282-0660

Fax

(484) 282-0666

NPI assigned

Sep 25, 2017

Last updated

Sep 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charan T Chadha, MPTNPI 1053312991

Title

Co-Owner

Phone

(484) 582-0660

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bounce Back Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Wayne, PA
  • NPI 1972556835

  O20050713000245

  Same enrollment

Locations

Practitioners 6

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.

• Charan Tony Chadha, MPT

  • Physical Therapist
  • Wayne, PA
  • NPI 1053312991
  Authorized official Same address or phone
• Selena Belohoubek

  • Physical Therapist
  • Wayne, PA
  • NPI 1033814256
  NPD
• Julia Rose Dethlefs, DPT

  • Physical Therapist
  • Wayne, PA
  • NPI 1598570657
  NPD
• Nathaniel Haas

  • Physical Therapist
  • Wayne, PA
  • NPI 1306191895
  NPD
• Rachel Elizabeth Miller, PT, DPT

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1528734266
  NPD
• Stephanie Lynn Sposato, MPT

  • Physical Therapist
  • Wayne, PA
  • NPI 1922009877
  NPD

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1063921872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 RITTENHOUSE PL",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032227",
            "telephone_number": "484-582-0660",
            "fax_number": "484-582-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 RITTENHOUSE PL",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032227",
            "telephone_number": "484-282-0660",
            "fax_number": "484-282-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNCE BACK PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "CHADHA",
        "authorized_official_first_name": "CHARAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "484-582-0660",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Ferenc Bernstein, M.D.
• Larysa K Bilyk, O.D.
• Jenny Maricela Blaszczyk, M.S.
• Bloom Healthcare Limited
• Richard Boehm
• Maureen Sandra Boyle Cieri, LPC
• Braids & Things LLC
• Andrea Braver, MSW, LCSW
• Leah Brecher-Cohn, LMFT
• Kingsley Bryant, LCSW

• Physical Therapist in Ardmore, PA
• Providers in Ardmore, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.