Organization Active NPI

Proaction Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Lansdale, PA
National Provider Identifier
1063948073
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT021738 Issued in PA
Legal business name
PROACTION PHYSICAL THERAPY LLC
Practice address
902 N Broad St
Suite 103
Lansdale, PA 19446-2323
Phone
(215) 266-8036
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Mr. William Morey, PTNPI 1417227257
Title
Sole Member
Phone
(215) 266-8036

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 Therapy Clinic/Center 261QP2000X PT021738 PA Primary

Addresses

Primary practice location

902 N Broad St
Suite 103
Lansdale, PA 19446-2323

Mailing address

902 N Broad St
Suite 103
Lansdale, PA 19446-2323
Phone (215) 266-8036

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170911000622 PA Part B Supplier - Clinic/Group Practice 5092088260 Receives reassigned benefits from 1 practitioner
Practice locations: Lansdale, PA

National Provider Directory

National Provider Directory

Locations

902 N Broad St
Ste 103
Lansdale, PA 19446
Phone (215) 266-8036

Practitioners & affiliated clinicians

Practitioners 2

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": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1063948073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N BROAD ST",
            "address_2": "SUITE 103",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462323",
            "telephone_number": "215-266-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N BROAD ST",
            "address_2": "SUITE 103",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462323",
            "telephone_number": "215-266-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTION PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "MOREY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "215-266-8036",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT021738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

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