Active NPI
CDM Physical Therapy & Performance
- Physical Therapist
- Blue Bell, PA
National Provider Identifier
1336837848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- CDM PHYSICAL THERAPY & PERFORMANCE
- Practice address
- 1078 Boxwood LN
Blue Bell, PA 19422-1557 - Phone
- (267) 992-1292
- NPI assigned
- Apr 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher D Miller, PT
- Title
- Owner
- Phone
- (267) 992-1292
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1078 Boxwood LN
Blue Bell, PA 19422-1557
Mailing address
1078 Boxwood LN
Blue Bell, PA 19422-1557
Phone (267) 992-1292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Blue Bell, PA
- NPI 1942284344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682294400000",
"number": "1336837848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1078 BOXWOOD LN",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194221557",
"telephone_number": "267-992-1292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1078 BOXWOOD LN",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194221557",
"telephone_number": "267-992-1292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CDM PHYSICAL THERAPY & PERFORMANCE",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-24",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "267-992-1292",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"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 Apr 24, 2023; 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.