Jacqueline Robertson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT023749 Issued in PA

Practice address

325 W Germantown Pike
East Norriton, PA 19403-4207

Phone

(675) 347-6142

Fax

(267) 534-7615

NPI assigned

Jan 16, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Temple University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core 3 Physical Therapy LLCGroup PAC ID 2264750363, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Core 3 Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Hatfield, PA
  • NPI 1740673615
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1144091331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 BETHLEHEM PIKE",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194401302",
            "telephone_number": "267-308-5330",
            "fax_number": "267-308-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W GERMANTOWN PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034207",
            "telephone_number": "675-347-6142",
            "fax_number": "267-534-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JACQUELINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rheumatology Associates LTD
• Rheumatology Diagnostic Lab
• Brandyn Lynn Rice, CRNP
• Luz M Rivera, O.D.
• Melinda Moyer Roberts, MS, RDN, LDN, CHC
• Julia Rose Robinson, M.D.
• Komal Romance, MD
• Ronni H. Rothman, CNM
• Edward William Ruane, DPM
• Russell Lauren & Co

• Physical Therapist in East Norriton, PA
• Providers in East Norriton, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.