Organization Active NPI

Physiomove LLC

  • Physical Therapy Clinic/Center
  • Levittown, PA
National Provider Identifier
1386068161
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSIOMOVE LLC
Practice address
1609 Woodbourne Rd Ste 203B
Levittown, PA 19057-1538
Phone
(215) 945-0100
NPI assigned
Feb 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Jay Maheshbhai Patel, PTNPI 1124392931
Title
Director
Phone
(610) 836-2764

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

1609 Woodbourne Rd Ste 203B
Levittown, PA 19057-1538

Mailing address

822 W Maple Ave
Langhorne, PA 19047-2665
Phone (610) 836-2764

Other identifiers 1

IdentifierTypeStateIssuer
103273944MedicaidPA

Other names 2

  • Physiomove Doing business as
  • Jayambe Therapy Services LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140225000892 PA Part B Supplier - Clinic/Group Practice 4183854888 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Bensalem, PA; Philadelphia, PA; Levittown, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1386068161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 W MAPLE AVE",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190472665",
            "telephone_number": "610-836-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 WOODBOURNE RD STE 203B",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571538",
            "telephone_number": "215-945-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOMOVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "MAHESHBHAI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-836-2764",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103273944",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physiomove",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physiomove",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jayambe Therapy Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.