Active NPI
Bernadette Crompton, DPT
- Physical Therapist
- Exton, PA
National Provider Identifier
1265692255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019883
- Practice address
- 266 Eagleview Blvd
Exton, PA 19341-1157 - Phone
- (610) 524-1019
- Fax
- (610) 524-4125
- NPI assigned
- Jun 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J10002373 | DE | |
| Physical Therapist | 225100000X | PT019883 | PA | Primary |
Addresses
Primary practice location
266 Eagleview Blvd
Exton, PA 19341-1157
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265692255 | Medicaid | DE | |
| 3534246000 | Other | AMERIHEALTH IBC | |
| 1265692255 | Other | CHAMPUS TRICARE | |
| 5070-0105 | Other | GHMSI | |
| 94266201 | Other | CARE FIRST |
Other names 1
- Bernadette McIntyre
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J10002373 | DE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, 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": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1265692255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 EAGLEVIEW BLVD",
"city": "EXTON",
"state": "PA",
"postal_code": "193411157",
"telephone_number": "610-524-1019",
"fax_number": "610-524-4125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROMPTON",
"first_name": "BERNADETTE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-12",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J10002373",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT019883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265692255",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH IBC",
"identifier": "3534246000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS TRICARE",
"identifier": "1265692255",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHMSI",
"identifier": "5070-0105",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "94266201",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BERNADETTE",
"last_name": "MCINTYRE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.