Active NPI
Lillian Kathleen Detwiler, P.T.
- Physical Therapist
- Royersford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016109
- Practice address
- 1835 E Ridge Pike Ste 30
Royersford, PA 19468-2818 - Phone
- (610) 409-5655
- Fax
- (610) 489-4874
- NPI assigned
- May 20, 2006
- Last updated
- Feb 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016109 | PA | Primary |
Addresses
Primary practice location
1835 E Ridge Pike Ste 30
Royersford, PA 19468-2818
Mailing address
730 S Broad St
Lansdale, PA 19446-5211
Phone (267) 663-7767
Other practice location 1
40 Berkshire Ct
Wyomissing, PA 19610-1224
Phone (610) 372-0902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.6 of 100
- Promoting interoperability
- 96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016109 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progress Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Healing Touch Pelvic Floor Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy and Wellness Institute LLC | Physical Therapist | Current | Accepting new patients |
| Regional Womens Health Group LLC | Physical Therapist | Current | Accepting new patients |
| Reading Berks Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400
1000 Walnut St
Ste 122
Lansdale, PA 19446
Phone (215) 368-1950
730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871
1610 Medical Dr
Ste 105
Pottstown, PA 19464
Phone (484) 925-0500
2456 W Main St
West Norriton, PA 19403
Phone (610) 630-0101
Organizations & group practices 5
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.
-
- Physical Therapist
- Douglassville, PA
- NPI 1609646199
-
- Physical Therapist
- Lansdale, PA
- NPI 1740208339
-
dba Axia Women's Health
- Obstetrics & Gynecology Physician
- Phoenixville, PA
- NPI 1750880118
Physical Therapist
-
- Physical Therapist
- Philadelphia, PA
- NPI 1164851085
-
- Physical Therapist
- Wyomissing, PA
- NPI 1609841386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1124072624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 S BROAD ST",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194465211",
"telephone_number": "267-663-7767",
"fax_number": "267-222-8158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 E RIDGE PIKE STE 30",
"city": "ROYERSFORD",
"state": "PA",
"postal_code": "194682818",
"telephone_number": "610-409-5655",
"fax_number": "610-489-4874"
}
],
"practiceLocations": [
{
"address_1": "40 Berkshire Ct",
"address_purpose": "LOCATION",
"city": "Wyomissing",
"state": "PA",
"postal_code": "196101224",
"country_code": "US",
"telephone_number": "610-372-0902",
"fax_number": "610-372-0966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DETWILER",
"first_name": "LILLIAN",
"middle_name": "KATHLEEN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT016109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royersford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.