Individual provider Active NPI

Matthew Brody, DPT

  • Physical Therapist
  • Bala Cynwyd, PA
National Provider Identifier
1114583200
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT027683 Issued in PA
Practice address
601 Righters Ferry Rd
Bala Cynwyd, PA 19004
Phone
(610) 816-6620
NPI assigned
May 14, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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 PT027683 PA Primary

Addresses

Primary practice location

601 Righters Ferry Rd
Bala Cynwyd, PA 19004

Mailing address

601 Righters Ferry Rd
Bala Cynwyd, PA 19004-1305

Other practice location 1

7720 W Chester Pike Ste 2
Upper Darby, PA 19082-1913
Phone (610) 924-6100

Other identifiers 1

IdentifierTypeStateIssuer
PT027683OtherPAPHYSICAL THERAPY STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190612002856 PA Practitioner - Physical Therapist in Private Practice 7719210335 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

7720 W Chester Pike
Upper Darby, PA 19082-1913
Phone (610) 924-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reconstructive Orthopaedic Associates II LLC CurrentSince May 9, 2019 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Physical Therapist CurrentSince May 9, 2019 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Jul 31, 2023 Accepting new patients

Locations

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

601 Righters Ferry Rd
Bala Cynwyd, PA 19004
Phone (610) 664-6464

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

7720 W Chester Pike
Ste 2
Upper Darby, PA 19082
Phone (610) 924-6100

7720 W Chester Pike
Upper Darby, PA 19082
Phone (610) 924-6100

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1114583200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RIGHTERS FERRY RD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RIGHTERS FERRY RD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "19004",
            "telephone_number": "610-816-6620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7720 W Chester Pike Ste 2",
            "address_purpose": "LOCATION",
            "city": "Upper Darby",
            "state": "PA",
            "postal_code": "190821913",
            "country_code": "US",
            "telephone_number": "610-924-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODY",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY STATE LICENSE",
            "identifier": "PT027683",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.