Active NPI
John Dylan Kohutka, DPT
- Physical Therapist
- Blue Bell, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT029093
- Practice address
- 1524 Dekalb Pike
Blue Bell, PA 19422-3368 - Phone
- (610) 275-0330
- NPI assigned
- Nov 1, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6573 | MS | |
| Physical Therapist | 225100000X | PT029093 | PA | Primary |
Addresses
Primary practice location
1524 Dekalb Pike
Blue Bell, PA 19422-3368
Mailing address
1524 Dekalb Pike
Blue Bell, PA 19422-3368
Phone (610) 275-0330
Other practice location 1
1220 N Shore Pkwy Ste B
Brandon, MS 39047-6383
Phone (601) 829-0505
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 |
|---|---|---|---|
| PT6573 | MS | MD | Physical Therapist |
| PT029093 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT, Inc. | Current | Accepting new patients | |
| Rehabclinics SPT, Inc. | Current | Accepting new patients | |
| Orthopedic and Sports Physical Therapy Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Rehabclinics (SPT), Inc. | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Mississippi LLC | Physical Therapist | Past | Accepting new patients |
Locations
1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282
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
528 Kimberton Rd
Phoenixville, PA 19460
Phone (610) 933-6232
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.
-
- Physical Therapist
- Philadelphia, PA
- NPI 1588661235
-
- Physical Therapy Clinic/Center
- Conshohocken, PA
- NPI 1255330148
Physical Therapist
-
- Physical Therapy Clinic/Center
- Warminster, PA
- NPI 1013654185
-
- Physical Therapy Clinic/Center
- Chalfont, PA
- NPI 1952009482
-
- Physical Therapist
- Crystal Springs, MS
- NPI 1801333521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1326515958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 DEKALB PIKE",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194223368",
"telephone_number": "610-275-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 DEKALB PIKE",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194223368",
"telephone_number": "610-275-0330"
}
],
"practiceLocations": [
{
"address_1": "1220 N Shore Pkwy Ste B",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "MS",
"postal_code": "390476383",
"country_code": "US",
"telephone_number": "601-829-0505",
"fax_number": "601-829-0506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOHUTKA",
"first_name": "JOHN",
"middle_name": "DYLAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-01",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT6573",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT029093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Bell, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.