Individual provider Active NPI

Rachel Kehaulani Hasegawa

  • Orthopedic Physical Therapist
  • Ardmore, PA
National Provider Identifier
1366104697
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT029945 Issued in PA
Practice address
120 E Lancaster Ave Ste 205
Ardmore, PA 19003-3209
Phone
(484) 297-6491
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT029945 PA Primary

Addresses

Primary practice location

120 E Lancaster Ave Ste 205
Ardmore, PA 19003-3209

Mailing address

475 Allendale Rd Ste 206
King of Prussia, PA 19406-1495
Phone (610) 270-0370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Services, Inc. Orthopedic CurrentSince Oct 11, 2021 Accepting new patients
Physical Therapy and Wellness Institute LLC Orthopedic CurrentSince Apr 1, 2023 Accepting new patients
Progress Physical Therapy LLC Orthopedic CurrentSince Apr 1, 2023 Accepting new patients

Locations

120 E Lancaster Ave
Ste 205
Ardmore, PA 19003
Phone (484) 297-6491

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

1600 Bethlehem Pike
Flourtown, PA 19031
Phone (215) 233-9677

475 Allendale Rd
Ste 206
Kng of Prussa, PA 19406
Phone (610) 270-0370

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

1083 W Baltimore Pike
Bldg C106
Media, PA 19063
Phone (484) 214-4080

3537 West Chester Pike
Newtown Square, PA 19073
Phone (610) 601-9177

1528 Walnut St
Ste 1210
Philadelphia, PA 19102
Phone (215) 839-0989

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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1366104697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 ALLENDALE RD STE 206",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061495",
            "telephone_number": "610-270-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E LANCASTER AVE STE 205",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190033209",
            "telephone_number": "484-297-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASEGAWA",
        "first_name": "RACHEL",
        "middle_name": "KEHAULANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT029945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.