Jane Fagan, PT
Individual provider Active NPI Physical Therapist · Flourtown, PA
NPI 1104926336 · NPPES record last updated Jan 31, 2012
Key facts
- NPI
- 1104926336
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT020279 (PA)
- Practice address
- 1600 Bethlehem Pike
Flourtown, PA 19031-2026 - Phone
- (215) 233-9677
- Fax
- (215) 233-9498
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wallace & Nilan Physical Therapy and Fitness, LLC | Physical Therapist | Past |
Accepting new patients |
| Progress Physical Therapy LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7644 | TN | |
| Physical Therapist | 225100000X | PT020279 | PA | Yes |
Addresses
Primary practice location
1600 Bethlehem Pike
Flourtown, PA 19031-2026
Mailing address
1600 Bethlehem Pike
Flourtown, PA 19031-2026
Phone (215) 233-9677
Other providers in Flourtown, PA
- Renee Ejdaharian
- Enspire Consulting Group-Fort Washington LLC
- Robert M Epting
- Erika Evans
- Eyeglasses Etc Corp
- Donna Ferguson
- Flourtown Anesthesia Consultants, P.C.
- Flourtown Pain Evaluation and Treatment Center
- Flourtown Pediatric Dentistry LTD
- Natasha Fonseka
All providers in Flourtown, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.