NPIMap

Organization Active NPI

Precision Performance Physical Therapy

  • Physical Therapy Clinic/Center
  • Garnet Valley, PA
National Provider Identifier
1346886736
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PRECISION PERFORMANCE PHYSICAL THERAPY
Practice address
1451 Conchester Hwy
Garnet Valley, PA 19060-2104
Phone
(484) 800-8186
Fax
(484) 840-8635
NPI assigned
Nov 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jonathan David Herting, DPTNPI 1467702894
Title
Owner
Phone
(610) 256-8304

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1451 Conchester Hwy
Garnet Valley, PA 19060-2104

Mailing address

1451 Conchester Hwy
Garnet Valley, PA 19060-2104
Phone (610) 256-8304

Other practice location 1

17 Ravine Rd
Malvern, PA 19355-1301
Phone (610) 256-8304

Other names 1

  • Precision Performance Physical Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.precisionperformancept.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191231000027 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7719311661 Receives reassigned benefits from 8 practitioners
Practice locations: Garnet Valley, PA; Malvern, PA

National Provider Directory

National Provider Directory

Locations

1451 Conchester Hwy
Garnet Valley, PA 19060
Phone (484) 800-8186

1451 Conchester Hwy
Ste 1
Garnet Valley, PA 19060

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1346886736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 CONCHESTER HWY",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190602104",
            "telephone_number": "610-256-8304",
            "fax_number": "484-840-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 CONCHESTER HWY",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190602104",
            "telephone_number": "484-800-8186",
            "fax_number": "484-840-8635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "PA",
            "postal_code": "193551301",
            "country_code": "US",
            "telephone_number": "610-256-8304",
            "fax_number": "484-840-8635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRECISION PERFORMANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "HERTING",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-256-8304",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.precisionperformancept.com",
            "affiliation": "N",
            "endpointDescription": "Company Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1451 Conchester Hwy",
            "city": "Garnet Valley",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190602104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Precision Performance Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Precision Performance Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garnet Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.