Individual provider Active NPI

Anthony Antich, M.S.,R.P.T.

  • Physical Therapist
  • Chester Springs, PA
National Provider Identifier
1174579205
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-001384-E Issued in PA
Practice address
4 Oneida CT
Suite 100
Chester Springs, PA 19425-2934
Phone
(610) 935-3500
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT001384E PA
Physical Therapist 225100000X PT-001384-E PA Primary

Addresses

Primary practice location

4 Oneida CT
Suite 100
Chester Springs, PA 19425-2934

Mailing address

4 Oneida CT
Chester Springs, PA 19425-2934
Phone (610) 469-9057

Other identifiers 4

IdentifierTypeStateIssuer
000501520OtherPABLUE SHIELD
0108954000OtherPABLUE CROSS
650004929OtherPARAILROAD MEDICARE
55526OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT001384EPAMDSpecialist
PT-001384-EPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab1 LLC Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1174579205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ONEIDA CT",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194252934",
            "telephone_number": "610-469-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ONEIDA CT",
            "address_2": "SUITE 100",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194252934",
            "telephone_number": "610-935-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTICH",
        "first_name": "ANTHONY",
        "credential": "M.S.,R.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT001384E",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-001384-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000501520",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0108954000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650004929",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "55526",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester Springs, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.