Individual provider Active NPI

Jay Raju, DPT

  • Physical Therapist
  • Abington, PA
National Provider Identifier
1174119499
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT029056 Issued in PA
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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 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

Enrollment IDStateProvider typePAC IDDetails
I20210329000039 PA Practitioner - Physical Therapist in Private Practice 2466869086 Reassigns benefits to 3 organizations

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
Elkins Park Physical Therapy LLCGroup PAC ID 3274895057, 3 clinicians
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

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

LicenseStateTypeSpecialty
PT029056PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elkins Park Physical Therapy LLC Physical Therapist CurrentSince May 1, 2022 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Feb 26, 2021 Accepting new patients
Montgomery County Rehabilitation & Sports Therapy, P.C. Physical Therapist CurrentSince Dec 1, 2025 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.

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.

Verify at the official NPI Registry.