NPIMap

Organization Active NPI

Willow Grove Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Willow Grove, PA
National Provider Identifier
1083659783
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WILLOW GROVE PHYSICAL THERAPY, LLC
Practice address
2325 Maryland Road Suite 205
Willow Grove, PA 19090
Phone
(215) 659-7759
Fax
(215) 659-6658
NPI assigned
Jun 17, 2006
Last updated
Jan 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Anna Gaylord
Title
Credentialing Manager
Phone
(678) 837-7176

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary
Physical Medicine & Rehabilitation Physician 208100000X NU

Addresses

Primary practice location

2325 Maryland Road Suite 205
Willow Grove, PA 19090

Mailing address

PO Box 52408
Phoenix, AZ 85072-2408
Phone (215) 659-7759

Other practice location 1

55 N York Rd Ste 100
Hatboro, PA 19040-3149
Phone (215) 394-5116

Other practice location 2

875 N Easton Rd
Glenside, PA 19038-5239
Phone (215) 277-5552

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050328000841 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0749189256 Receives reassigned benefits from 32 practitioners
Practice locations: Glenside, PA; Hatboro, PA; Willow Grove, PA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1614 Old York Rd
Abington, PA 19001
Phone (215) 659-7759

875 N Easton Rd
Glenside, PA 19038
Phone (215) 277-5552

55 N York Rd
Ste 100
Hatboro, PA 19040
Phone (215) 394-5116

1001 Easton Rd
Ste 101
Willow Grove, PA 19090
Phone (215) 659-7759

1003 Easton Rd
Ste 105
Willow Grove, PA 19090
Phone (215) 659-7759

2325 Maryland Rd
Ste 205
Willow Grove, PA 19090
Phone (215) 586-3772

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1083659783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52408",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850722408",
            "telephone_number": "215-659-7759",
            "fax_number": "215-659-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 MARYLAND ROAD SUITE 205",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "19090",
            "telephone_number": "215-659-7759",
            "fax_number": "215-659-6658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 N York Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hatboro",
            "state": "PA",
            "postal_code": "190403149",
            "country_code": "US",
            "telephone_number": "215-394-5116",
            "fax_number": "215-268-3845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 N Easton Rd",
            "address_purpose": "LOCATION",
            "city": "Glenside",
            "state": "PA",
            "postal_code": "190385239",
            "country_code": "US",
            "telephone_number": "215-277-5552",
            "fax_number": "215-277-5368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILLOW GROVE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "GAYLORD",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "678-837-7176"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.