NPIMap

Organization Active NPI

Baniewicz Physical Therapy, Inc.

  • Orthopedic Physical Therapist
  • Newtown, PA
National Provider Identifier
1073115101
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
BANIEWICZ PHYSICAL THERAPY, INC.
Practice address
11 Friends LN Ste 103
Newtown, PA 18940-1885
Phone
(215) 968-1000
NPI assigned
Nov 13, 2020
Last updated
Jun 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Dr. James Matthew Baniewicz, DPTNPI 1548376692
Title
President
Phone
(215) 968-1000

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
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

11 Friends LN Ste 103
Newtown, PA 18940-1885

Mailing address

94 Greenbriar LN
Newtown, PA 18940-1680
Phone (215) 968-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210304000298 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6406262112 Receives reassigned benefits from 5 practitioners
Practice locations: Newtown, PA

National Provider Directory

National Provider Directory

Locations

11 Friends Ln
Ste 103
Newtown, PA 18940
Phone (215) 741-5600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1073115101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 GREENBRIAR LN",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401680",
            "telephone_number": "215-968-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FRIENDS LN STE 103",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401885",
            "telephone_number": "215-968-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANIEWICZ PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "BANIEWICZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-968-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.