Joseph Bertucci
Individual provider Active NPI Physical Therapist · Newtown Square, PA
NPI 1194264184 · NPPES record last updated Sep 14, 2020
Key facts
- NPI
- 1194264184
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT025877 (PA)
- Practice address
- 3537 W Chester Pike
Newtown Square, PA 19073-3701 - Phone
- (610) 723-7771
- Fax
- (610) 723-7772
- NPI assigned
- Feb 23, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physical Therapy and Wellness Institute LLC
Progress Physical Therapy LLC
Practice addresses (Care Compare)
3537 W Chester Pike
Newtown Square, PA 19073-3701
Phone (610) 723-7771
8015 Frankford Ave
Philadelphia, PA 19136-2736
Phone (215) 338-8900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170428000085 | PA | Practitioner - Physical Therapist in Private Practice | 2264719327 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT025877 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy and Wellness Institute LLC | Physical Therapist | Current |
Accepting new patients |
| Progress Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Orthopedic and Sports Physical Therapy Services, Inc. | Physical Therapist | Current |
Accepting new patients |
Locations
1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282
1120 W Township Line Rd
Ste 110
Havertown, PA 19083
Phone (267) 281-5253
730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871
3537 West Chester Pike
Newtown Square, PA 19073
Phone (610) 601-9177
734 E Lancaster Ave
Villanova, PA 19085
Phone (610) 254-8001
1167 Wilmington Pike
West Chester, PA 19382
Phone (484) 567-4343
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT025877 | PA | |
| Physical Therapist | 225100000X | PT025877 | PA | Yes |
Addresses
Primary practice location
3537 W Chester Pike
Newtown Square, PA 19073-3701
Mailing address
1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (914) 265-4595
Other practice location 1
120 E Lancaster Ave
Suite 106
Ardmore, PA 19003-3209
Phone (484) 297-6491
Other providers in Newtown Square, PA
- Audrey Bell
- Philip Beninato
- Hope Berman
- Jordan Bernstein
- Joseph A. Berrang
- Best Care Home Agency LLC
- Ashley Blackburn
- Elizabeth Helen Bland
- Board of Supervisors Newtown Square Township
- Bridget Bolton
All providers in Newtown Square, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.