Individual provider Active NPI

Pamela Leary Piersante

  • Physical Therapist
  • West Chester, PA
National Provider Identifier
1356957351
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028747 Issued in PA
Practice address
11 N 5 Points Rd Ste 2
West Chester, PA 19380-4778
Phone
(484) 266-0387
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 PT028747 PA Primary

Addresses

Primary practice location

11 N 5 Points Rd Ste 2
West Chester, PA 19380-4778

Mailing address

2148 Cherry St
Philadelphia, PA 19103-1334
Phone (215) 630-9706

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201013002511 PA Practitioner - Physical Therapist in Private Practice 2365862380 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Temple University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JMB Therapy Services LLCGroup PAC ID 8628243748, 28 clinicians

Practice addresses (Care Compare)

511 Old Lancaster Rd
Suite 12
Berwyn, PA 19312-1671
Phone (610) 225-2451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Simpson Therapy Services, LLC Physical Therapist CurrentSince May 16, 2023 Accepting new patients
JMB Therapy Services LLC Physical Therapist CurrentSince May 14, 2024 Accepting new patients
JMB Therapy Services LLC Physical Therapist CurrentSince May 14, 2024 Accepting new patients

Locations

150 Monument Rd
Ste 202
Bala Cynwyd, PA 19004

511 Old Lancaster Rd
Ste 12
Berwyn, PA 19312
Phone (610) 225-2451

Organizations & group practices 3

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1356957351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 CHERRY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031334",
            "telephone_number": "215-630-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N 5 POINTS RD STE 2",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804778",
            "telephone_number": "484-266-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSANTE",
        "first_name": "PAMELA",
        "middle_name": "LEARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.