Individual provider Active NPI

Ron Thomas

  • Physical Therapist
  • Jenkintown, PA
National Provider Identifier
1093267908
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025353 Issued in PA
Practice address
1515 The Fairway
Jenkintown, PA 19046-1435
Phone
(215) 885-6800
NPI assigned
Oct 26, 2016
Last updated
Oct 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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 PT025353 PA Primary

Addresses

Primary practice location

1515 The Fairway
Jenkintown, PA 19046-1435

Mailing address

1515 The Fairway
Jenkintown, PA 19046-1435
Phone (610) 597-4581

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171012000121 PA Practitioner - Physical Therapist in Private Practice 7810262144 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT025353PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physical Therapy, Inc. Physical Therapist CurrentSince Aug 28, 2017 Accepting new patients

Locations

8200 Flourtown Ave
Ste 11
Wyndmoor, PA 19038
Phone (215) 233-5572

Organizations & group practices 1

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": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1093267908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 THE FAIRWAY",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461435",
            "telephone_number": "610-597-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 THE FAIRWAY",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461435",
            "telephone_number": "215-885-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.