Individual provider Active NPI

Dylan Thorne, DPT

  • Physical Therapist
  • Aston, PA
National Provider Identifier
1083038376
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026972 Issued in PA
Practice address
4948 Pennell Rd
Aston, PA 19014-1867
Phone
(610) 494-8730
NPI assigned
Feb 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0003395 DE
Physical Therapist 225100000X 24880 MD
Physical Therapist 225100000X PT026972 PA Primary

Addresses

Primary practice location

4948 Pennell Rd
Aston, PA 19014-1867

Mailing address

655 Northern Blvd
South Abington Township, PA 18411-8740
Phone (570) 842-9323

Other identifiers 1

IdentifierTypeStateIssuer
475187Y0XOtherDEMEDICARE

Other names 1

  • Dylan Thorne-Fitzgerald Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dnardelli@pivoths.com Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190626000620 PA Practitioner - Physical Therapist in Private Practice 7810129830 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

8015 Frankford Ave
Philadelphia, PA 19136-2736
Phone (215) 338-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24880MDMDClinical Social Worker
J1-0003395DEMDPhysical Therapist
PT026972PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist CurrentSince Aug 16, 2020 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Dec 16, 2024 Accepting new patients
Procare Physical Therapy Inc Physical Therapist PastSince Aug 16, 2020 Accepting new patients

Locations

110 Ardmore Ave
Ste A
Ardmore, PA 19003
Phone (484) 498-8299

4948 Pennell Rd
Aston, PA 19014
Phone (610) 494-8730

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

4301 Penn Ave
Sinking Spring, PA 19608
Phone (610) 927-4136

655 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2142

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1083038376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 NORTHERN BLVD",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184118740",
            "telephone_number": "570-842-9323",
            "fax_number": "570-842-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4948 PENNELL RD",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190141867",
            "telephone_number": "610-494-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNE",
        "first_name": "DYLAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-07",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0003395",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24880",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "475187Y0X",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dnardelli@pivoths.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Credentialing",
            "address_1": "4948 Pennell Rd",
            "city": "Aston",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190141867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DYLAN",
            "last_name": "THORNE-FITZGERALD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.