Active NPI
Jeffrey Vaisberg, DPT
- Physical Therapist
- Southampton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-021505
- Practice address
- 283 Second Street Pike
Suite 145
Southampton, PA 18966-3823 - Phone
- (215) 494-2255
- Fax
- (215) 494-2258
- NPI assigned
- Aug 12, 2011
- Last updated
- Aug 12, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-021505 | PA | Primary |
Addresses
Primary practice location
283 Second Street Pike
Suite 145
Southampton, PA 18966-3823
Mailing address
2 W 10TH St
Marcus Hook, PA 19061-4513
Phone (610) 859-8850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1930 S Broad St
Philadelphia, PA 19145-2328
Phone (267) 996-3900
3400 Lancaster Ave
Philadelphia, PA 19104-4964
Phone (215) 662-0397
818 Macdade Blvd
Unit a 2
Milmont Park, PA 19033-3513
Phone (484) 321-7245
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-021505 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | 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 |
| Physical Therapy and Wellness Institute LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Delaware LLC | Physical Therapist | Current | Accepting new patients |
| Dynamic Therapy Services of Pennsylvania LLC | Physical Therapist | Past | Accepting new patients |
Locations
2714 Philadelphia Pike
Claymont, DE 19703
Phone (302) 408-7310
180 Pencader Plz
Newark, DE 19713
Phone (302) 565-2626
907 S Chapel St
Unit 180
Newark, DE 19713
Phone (302) 408-7310
1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749
1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282
1734 DeKalb Pike
Unit 4
Blue Bell, PA 19422
Phone (610) 707-8088
730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871
10 Glocker Way
Pottstown, PA 19465
Phone (610) 323-4300
1040 Millcreek Dr
Trevose, PA 19053
Phone (215) 357-2363
Organizations & group practices 5
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.
-
- Physical Therapist
- Philadelphia, PA
- NPI 1164851085
-
dba Excel Physical Therapy
- Physical Therapist
- Philadelphia, PA
- NPI 1588661235
-
- Physical Therapist
- Lansdale, PA
- NPI 1740208339
-
- Physical Medicine & Rehabilitation Physician
- Claymont, DE
- NPI 1750927141
Physical Therapist
-
dba Dynamic Physical Therapy
- Physical Therapist
- Aston, PA
- NPI 1346477981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313107200000",
"number": "1265711923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 W 10TH ST",
"city": "MARCUS HOOK",
"state": "PA",
"postal_code": "190614513",
"telephone_number": "610-859-8850",
"fax_number": "610-859-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "283 SECOND STREET PIKE",
"address_2": "SUITE 145",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189663823",
"telephone_number": "215-494-2255",
"fax_number": "215-494-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAISBERG",
"first_name": "JEFFREY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-12",
"last_updated": "2011-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT-021505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.