Individual provider Active NPI

Jennifer Lee O'Gara, MPT

  • Physical Therapist
  • Broomall, PA
National Provider Identifier
1124132212
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018187 Issued in PA
Practice address
2004 Sproul Rd
Broomall, PA 19008-3511
Phone
(610) 359-1580
Fax
(610) 359-1050
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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 PT018187 PA Primary

Addresses

Primary practice location

2004 Sproul Rd
Broomall, PA 19008-3511

Mailing address

2004 Sproul Rd
Broomall, PA 19008-3511
Phone (610) 359-1580

Other practice location 1

3537 W Chester Pike
Newtown Square, PA 19073-3701
Phone (610) 723-7771

Other names 1

  • Miss Jennifer Lee Sheibley Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060829000159 PA Practitioner - Physical Therapist in Private Practice 0547264855 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT018187PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Sep 6, 2024 Accepting new patients
Motive Sports and Physical Therapy Malvern, LLC Physical Therapist CurrentSince Sep 5, 2024 Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Aug 17, 2020 Accepting new patients
Motive Sports and Physical Therapy, PLLC Physical Therapist PastSince Sep 5, 2024 Accepting new patients
Pain Relief and Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

466 Germantown Pike
Ste 200
Lafayette Hill, PA 19444
Phone (610) 832-7510

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

480 Lancaster Ave
Unit 4
Malvern, PA 19355
Phone (610) 500-5296

280 N Providence Rd
Ste 100
Media, PA 19063
Phone (610) 424-5800

3537 West Chester Pike
Newtown Square, PA 19073
Phone (610) 601-9177

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1124132212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 SPROUL RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083511",
            "telephone_number": "610-359-1580",
            "fax_number": "610-359-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 SPROUL RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083511",
            "telephone_number": "610-359-1580",
            "fax_number": "610-359-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3537 W Chester Pike",
            "address_purpose": "LOCATION",
            "city": "Newtown Square",
            "state": "PA",
            "postal_code": "190733701",
            "country_code": "US",
            "telephone_number": "610-723-7771",
            "fax_number": "610-723-7772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'GARA",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SHEIBLEY",
            "middle_name": "LEE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.