NPIMap

Individual provider Active NPI

David Lloyd Lichten, MD

  • Physical Medicine & Rehabilitation Physician
  • Pottstown, PA
National Provider Identifier
1366563744
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD436062 Issued in PA
Practice address
1603 E High St
Suite a
Pottstown, PA 19464-5061
Phone
(610) 970-4700
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD436062 PA Primary

Addresses

Primary practice location

1603 E High St
Suite a
Pottstown, PA 19464-5061

Mailing address

1603 E High St
Suite a
Pottstown, PA 19464-5061
Phone (610) 970-4700

Other identifiers 1

IdentifierTypeStateIssuer
102399100-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091120000209 PA Practitioner - Physical Medicine and Rehabilitation 3870632409 Reassigns benefits to 1 organization
Practice locations: Reading, PA

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Spine and Sports Physicians, PCGroup PAC ID 3678565074, 6 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

110 W Wissahickon Ave
Flourtown, PA 19031-1802
Phone (610) 970-4700

1603 E High St
Suite a
Pottstown, PA 19464-5061
Phone (610) 970-4700

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.96 of 100Reported as group
Quality
82.16
Improvement activities
40
Cost
73.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Spine & Sports Physicians, PC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2010 Accepting new patients
Performance Spine and Sports Physicians, PC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2010 Accepting new patients
Shibumi RX Current Accepting new patients

Locations

110 W Wissahickon Ave
Flourtown, PA 19031
Phone (215) 248-7801

301 E Germantown Pike
Fl 1
Norristown, PA 19401
Phone (484) 681-4540

1603 E High St
Ste C
Pottstown, PA 19464
Phone (610) 327-2004

1603 E High St
Ste A
Pottstown, PA 19464
Phone (610) 327-2400

Interoperability endpoints

  • Direct secure messaging: drlichten@performancespine.medentdirect.com

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1366563744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 E HIGH ST",
            "address_2": "SUITE A",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645061",
            "telephone_number": "610-970-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 E HIGH ST",
            "address_2": "SUITE A",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645061",
            "telephone_number": "610-970-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTEN",
        "first_name": "DAVID",
        "middle_name": "LLOYD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD436062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102399100-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.