Timothy Breslin, PT, DPT
Individual provider Active NPI Physical Therapist · Glenside, PA
NPI 1316684376 · NPPES record last updated May 19, 2022
Key facts
- NPI
- 1316684376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- TPT023506 (PA)
- Practice address
- 2285 Cross Rd Ste 3
Glenside, PA 19038-5009 - Phone
- (215) 887-2001
- Fax
- (215) 887-8911
- NPI assigned
- May 19, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Progress Physical Therapy LLC
Practice addresses (Care Compare)
8015 Frankford Ave
Philadelphia, PA 19136-2736
Phone (215) 338-8900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220831000559 | PA | Practitioner - Physical Therapist in Private Practice | 4587048152 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TPT023506 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy and Wellness Institute LLC | Physical Therapist | Current |
Accepting new patients |
| Progress Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
2285 Cross Rd
Glenside, PA 19038
Phone (215) 887-2001
2285 Cross Rd
Ste 3
Glenside, PA 19038
Phone (215) 887-2001
730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | TPT023506 | PA | Yes |
Addresses
Primary practice location
2285 Cross Rd Ste 3
Glenside, PA 19038-5009
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050
Other providers in Glenside, PA
- Theresa Bradish
- Louisa Brandenburger
- Brenda Lacy Branson
- Chanelle Braxton
- Rachel B Breskman
- Skylar Elizabeth Brightbill
- Howard George Brooker
- Rian Brown-Beasley
- Maria Christina Buccafuri
- Aleesha Burke
All providers in Glenside, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.