Active NPI
Elizabeth Miceli
- Physical Therapist
- Springfield, PA
National Provider Identifier
1285306704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT029838
- Practice address
- 965 Baltimore Pike
Springfield, PA 19064 - Phone
- (610) 544-8500
- NPI assigned
- Oct 3, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT029838 | PA | Primary |
Addresses
Primary practice location
965 Baltimore Pike
Springfield, PA 19064
Mailing address
965 Baltimore Pike
Springfield, PA 19064
Phone (610) 544-8500
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Range Health Services, LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Orthopaedic Centers PA | Physical Therapist | Past | Accepting new patients |
Locations
4302 Woodland Ave
Drexel Hill, PA 19026
Phone (610) 241-2685
Organizations & group practices 2
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 Therapist
- Exton, PA
- NPI 1982029377
-
- Orthopaedic Surgery Physician
- Woodbury, NJ
- NPI 1275574667
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633219200000",
"number": "1285306704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 BALTIMORE PIKE",
"city": "SPRINGFIELD",
"state": "PA",
"postal_code": "19064",
"telephone_number": "610-544-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 BALTIMORE PIKE",
"city": "SPRINGFIELD",
"state": "PA",
"postal_code": "19064",
"telephone_number": "610-544-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICELI",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-03",
"last_updated": "2021-10-03",
"certification_date": "2021-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT029838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.