Active NPI
David Matthew Brewer, DPT
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1275858128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTO-20454
- Practice address
- 7618 Ogontz Ave
Philadelphia, PA 19150-1817 - Phone
- (267) 323-2778
- Fax
- (267) 323-2774
- NPI assigned
- Apr 5, 2010
- 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 | PTO-20454 | PA | Primary |
Addresses
Primary practice location
7618 Ogontz Ave
Philadelphia, PA 19150-1817
Mailing address
3131 College Heights Blvd
Ste 2400
Allentown, PA 18104-4817
Phone (610) 432-7733
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2156631 | Other | PA | HIGHMARK PA BLUE SHIELD |
| 30078791 | Other | PA | KEYSTONE MERCY |
| 306073 | Other | UNISON | |
| 102448115-001 | Medicaid | PA | |
| 3777092000 | Other | PA | INDEPENDENCE BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTO-20454 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priority Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Progress Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
3131 College Heights Blvd
Ste 2400
Allentown, PA 18104
Phone (610) 432-2242
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Allentown, PA
- NPI 1801274246
Physical Therapist
-
dba Pivot Physical Therapy of Mid Atlantic, LLC
- Physical Therapist
- Seaford, DE
- NPI 1205875093
PA
-
- Physical Therapist
- Philadelphia, PA
- NPI 1164851085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504137600000",
"number": "1275858128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 COLLEGE HEIGHTS BLVD",
"address_2": "STE 2400",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181044817",
"telephone_number": "610-432-7733",
"fax_number": "610-432-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7618 OGONTZ AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191501817",
"telephone_number": "267-323-2778",
"fax_number": "267-323-2774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "DAVID",
"middle_name": "MATTHEW",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-05",
"last_updated": "2017-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PTO-20454",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PA BLUE SHIELD",
"identifier": "2156631",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30078791",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "306073",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102448115-001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "3777092000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.