Active NPI
Dylan Thorne, DPT
- Physical Therapist
- Aston, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT026972
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 475187Y0X | Other | DE | MEDICARE |
Other names 1
- Dylan Thorne-Fitzgerald
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dnardelli@pivoths.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24880 | MD | MD | Clinical Social Worker |
| J1-0003395 | DE | MD | Physical Therapist |
| PT026972 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy and Wellness Institute LLC | Physical Therapist | Current | Accepting new patients |
| Pivot Physical Therapy of Pennsylvania, LLC | Physical Therapist | Current | Accepting new patients |
| Progress Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Procare Physical Therapy Inc | Physical Therapist | Past | 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.
-
- Physical Therapist
- Philadelphia, PA
- NPI 1164851085
-
- Physical Therapist
- Lansdale, PA
- NPI 1740208339
-
- Physical Therapist
- South Abington Township, PA
- NPI 1881132488
-
- Physical Therapist
- Towanda, PA
- NPI 1003876319
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.