Individual provider Active NPI

John Detweiler, PT

  • Physical Therapist
  • Sellersville, PA
National Provider Identifier
1285684134
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT002894L Issued in PA
Practice address
Life Mark Dr
Sellersville, PA 18960
Phone
(215) 257-8668
Fax
(215) 257-0510
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 PT002894L PA Primary

Addresses

Primary practice location

Life Mark Dr
Sellersville, PA 18960

Mailing address

33 Skyline Dr
Chalfont, PA 18914-2820
Phone (215) 822-7785

Other identifiers 3

IdentifierTypeStateIssuer
410856OtherPAHIGHMARK
PC410856OtherPAPERSONAL CHOICE
KHPEO133709000OtherPAKEYSTONE HEALTH PLAN EAST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140206000100 PA Practitioner - Physical Therapist in Private Practice 6507874492 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT002894LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Jun 11, 2018 Accepting new patients
Rehabclinics (SPT), Inc. Physical Therapist Current Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. Physical Therapist Current Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Jun 11, 2018 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Oct 4, 2023 Accepting new patients

Locations

4275 County Line Rd
Ste 26
Chalfont, PA 18914
Phone (267) 952-8120

604 Commons Dr
Ste D3
Oxford, PA 19363
Phone (610) 932-3619

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285684134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SKYLINE DR",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189142820",
            "telephone_number": "215-822-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIFE MARK DR",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "18960",
            "telephone_number": "215-257-8668",
            "fax_number": "215-257-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWEILER",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT002894L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "410856",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "PC410856",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "KHPEO133709000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.