Organization Active NPI

Valley Physical Therapy PLLC

  • Physical Therapist
  • Huntingdon Valley, PA
National Provider Identifier
1376182170
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VALLEY PHYSICAL THERAPY PLLC
Practice address
1810 County Line Rd Ste 400
Huntingdon Valley, PA 19006-1720
Phone
(215) 360-7824
Fax
(215) 501-5108
NPI assigned
Dec 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Michael J Walsh, DPTNPI 1174572507
Title
Owner
Phone
(267) 406-8309

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1810 County Line Rd Ste 400
Huntingdon Valley, PA 19006-1720

Mailing address

PO Box 69
Jamison, PA 18929-0069
Phone (215) 360-7824

Other practice location 1

2440 Bristol Rd
Bensalem, PA 19020-6002
Phone (267) 406-8309

Other identifiers 1

IdentifierTypeStateIssuer
1027050340003MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL YOURVALLEYPT@GMAIL.COM Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200205000320 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012343304 Receives reassigned benefits from 1 practitioner
Practice locations: Huntingdon Valley, PA; Jamison, PA

National Provider Directory

National Provider Directory

Locations

2440 Bristol Rd
Bensalem, PA 19020
Phone (215) 891-9955

1810 County Line Rd
Ste 400
Huntingdon Valley, PA 19006
Phone (215) 360-7824

Practitioners & affiliated clinicians

Practitioners 1

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": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1376182170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "189290069",
            "telephone_number": "215-360-7824",
            "fax_number": "215-501-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 COUNTY LINE RD STE 400",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061720",
            "telephone_number": "215-360-7824",
            "fax_number": "215-501-5108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2440 Bristol Rd",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190206002",
            "country_code": "US",
            "telephone_number": "267-406-8309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2022-07-05",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-406-8309",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027050340003",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "YOURVALLEYPT@GMAIL.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1810 County Line Rd Ste 400",
            "city": "Huntingdon Valley",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190061720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.