Individual provider Active NPI

Rebecca Detweiler, DPT

  • Physical Therapist
  • Malvern, PA
National Provider Identifier
1083830756
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015711 Issued in PA
Practice address
254 Lancaster Ave
Malvern, PA 19355-3087
Phone
(610) 644-7755
Fax
(610) 644-8290
NPI assigned
Apr 18, 2007
Last updated
May 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 015711 PA Primary

Addresses

Primary practice location

254 Lancaster Ave
Malvern, PA 19355-3087

Mailing address

254 Lancaster Ave
Malvern, PA 19355-3087
Phone (610) 644-7755

Other names 1

  • Rebecca Neff Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080909000271 PA Practitioner - Physical Therapist in Private Practice 7315013786 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2767 Geryville Pike
Pennsburg, PA 18073-2306

7220 Hidden Meadow LN
Harrisburg, PA 17112-8720

850 Grove St
Orwigsburg, PA 17961-1520

PO Box
Franklin, TN 37068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015711PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Move More LLC CurrentSince Aug 1, 2023 Accepting new patients
Phoenixville Orthopedic Specialists LLC CurrentSince Apr 1, 2015 Accepting new patients
Upper Perk Physical Therapy & Sports Rehab., Inc Physical Therapist CurrentSince Mar 20, 2023 Accepting new patients
Phoenixville Orthopedic Specialists LLC Physical Therapist CurrentSince Apr 1, 2015 Accepting new patients
Southeastern Health Services of Pennsylvania, LLC PastSince Mar 20, 2023 Accepting new patients
Mishock Physical Therapy & Associates, LLC Physical Therapist Past Accepting new patients

Locations

2767 Geryville Pike
Pennsburg, PA 18073
Phone (215) 679-0105

420 W Linfield Trappe Rd
Royersford, PA 19468
Phone (610) 279-8686

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1083830756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 LANCASTER AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553087",
            "telephone_number": "610-644-7755",
            "fax_number": "610-644-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 LANCASTER AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553087",
            "telephone_number": "610-644-7755",
            "fax_number": "610-644-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWEILER",
        "first_name": "REBECCA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "015711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "NEFF",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.