Organization Active NPI

Donnefit Physical Therapy, LLC

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1083011084
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018595 Issued in PA
Legal business name
DONNEFIT PHYSICAL THERAPY, LLC
Practice address
6031 Rising Sun Ave
Philadelphia, PA 19111-6008
Phone
(267) 538-5011
NPI assigned
Nov 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Jane Nguyen, PT, DPTNPI 1144452723
Title
Owner
Phone
(215) 266-9652

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 PT018595 PA Primary

Addresses

Primary practice location

6031 Rising Sun Ave
Philadelphia, PA 19111-6008

Mailing address

6031 Rising Sun Ave
Philadelphia, PA 19111-6008
Phone (267) 538-5011

Other practice location 1

828 Snyder Ave Fl 1
Philadelphia, PA 19148-2310
Phone (267) 538-5011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150203000989 PA Part B Supplier - Clinic/Group Practice 4880919448 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

1630 Old York Rd
Ste 100
Abington, PA 19001
Phone (215) 266-9652

707 Bethlehem Pike
Ste C
Montgomeryville, PA 18936
Phone (215) 647-3141

828 Snyder Ave
Philadelphia, PA 19148
Phone (215) 688-5169

828 Snyder Ave
Fl 1
Philadelphia, PA 19148
Phone (267) 538-5011

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": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1083011084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191116008",
            "telephone_number": "267-538-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191116008",
            "telephone_number": "267-538-5011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "828 Snyder Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191482310",
            "country_code": "US",
            "telephone_number": "267-538-5011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DONNEFIT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-266-9652",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.