Individual provider Active NPI

Jeffrey Vaisberg, DPT

  • Physical Therapist
  • Southampton, PA
National Provider Identifier
1265711923
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-021505 Issued in PA
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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 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, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120111000733 PA Practitioner - Physical Therapist in Private Practice 4789851924 Reassigns benefits to 3 organizations
I20200330000360 DE Practitioner - Physical Therapist in Private Practice 4789851924 Reassigns benefits to 1 organization

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
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

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

LicenseStateTypeSpecialty
PT-021505PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Nov 1, 2013 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Nov 15, 2023 Accepting new patients
Ivyrehab Delaware LLC Physical Therapist CurrentSince Jan 20, 2020 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.

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.

Verify at the official NPI Registry.