Individual provider Active NPI

Michael J Walsh, PT

  • Physical Therapist
  • Huntingdon Valley, PA
National Provider Identifier
1174572507
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016879L Issued in PA
Practice address
1810 County Line Road
Suite 400
Huntingdon Valley, PA 19006
Phone
(215) 360-7824
Fax
(215) 501-5108
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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 PT016879L PA Primary

Addresses

Primary practice location

1810 County Line Road
Suite 400
Huntingdon Valley, PA 19006

Mailing address

1810 County Line Rd Ste 400
Huntingdon Valley, PA 19006-1720
Phone (215) 360-7824

Other practice location 1

2440 Bristol Rd
Bensalem, PA 19020-6002
Phone (267) 406-8309

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL YOURVALLEYPT@GMAIL.COM Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050818000652 PA Practitioner - Physical Therapist in Private Practice 1153351184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1917 Woodfield Dr
Jamison, PA 18929-1442
Phone (215) 360-7824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016879LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks Physical & Sports Rehabilitation LLC Physical Therapist CurrentSince Jan 1, 2010 Accepting new patients
Valley Physical Therapy PLLC Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients
Bucks Physical & Sports Rehabilitation Physical Therapist PastSince Jan 1, 2010 Accepting new patients
Dynamic Rehabilitation Services Inc Physical Therapist Past Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

2440 Bristol Rd
Bensalem, PA 19020
Phone (215) 891-9955

1810 County Line Rd
Ste 400
Huntingdon Valley, PA 19006
Phone (215) 360-7824

100 Almshouse Rd
Richboro, PA 18954
Phone (215) 357-2000

327 York Rd
Warminster, PA 18974
Phone (215) 672-7373

Organizations & group practices 4

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1174572507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 COUNTY LINE RD STE 400",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061720",
            "telephone_number": "215-360-7824",
            "fax_number": "215-357-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 COUNTY LINE ROAD",
            "address_2": "SUITE 400",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "19006",
            "telephone_number": "215-360-7824",
            "fax_number": "215-501-5108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2440 Bristol Rd",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190206002",
            "country_code": "US",
            "telephone_number": "267-406-8309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-07-08",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016879L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "YOURVALLEYPT@GMAIL.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1810 COUNTY LINE ROAD",
            "address_2": "SUITE 400",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.