Active NPI
Jay Raju, DPT
- Physical Therapist
- Abington, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT029056
- Practice address
- 1915 Guernsey Ave
Abington, PA 19001-3701 - Phone
- (215) 659-8600
- Fax
- (215) 659-4498
- NPI assigned
- Dec 21, 2020
- Last updated
- Mar 3, 2021
- Sex
- Male
- 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 | PT029056 | PA | Primary |
Addresses
Primary practice location
1915 Guernsey Ave
Abington, PA 19001-3701
Mailing address
1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (914) 294-4050
Other practice location 1
905 Tower Rd
Bristol, PA 19007-3116
Phone (215) 785-3201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Yorktown PLZ
Elkins Park, PA 19027-1420
Phone (215) 887-2471
1915 Guernsey Ave
Abington, PA 19001-3701
Phone (215) 659-8600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT029056 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elkins Park Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Progress Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Montgomery County Rehabilitation & Sports Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
Locations
1915 Guernsey Ave
Abington, PA 19001
Phone (215) 659-8600
125 Yorktown Plz
Elkins Park, PA 19027
Phone (215) 350-5622
170 W Germantown Pike
Ste C3
Norristown, PA 19401
Phone (610) 279-6290
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Elkins Park, PA
- NPI 1134637978
-
- Physical Therapist
- Philadelphia, PA
- NPI 1164851085
-
- Physical Therapist
- Norristown, PA
- NPI 1619911914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1174119499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 MOTOR PKWY STE 307",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117495258",
"telephone_number": "914-294-4050",
"fax_number": "631-760-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 GUERNSEY AVE",
"city": "ABINGTON",
"state": "PA",
"postal_code": "190013701",
"telephone_number": "215-659-8600",
"fax_number": "215-659-4498"
}
],
"practiceLocations": [
{
"address_1": "905 Tower Rd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "PA",
"postal_code": "190073116",
"country_code": "US",
"telephone_number": "215-785-3201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAJU",
"first_name": "JAY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-21",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT029056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.