Angela Caterina Gervasi, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT031888 Issued in PA

Practice address

558 Lancaster Ave
Berwyn, PA 19312-1635

Phone

(610) 984-1166

Fax

(610) 628-9795

NPI assigned

Nov 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bryn Mawr Sports Medicine and RehabilitationGroup PAC ID 6002804317, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bryn Mawr Sports Medicine and Rehabilitation

  • Physical Therapist
  • Bryn Mawr, PA
  • NPI 1396761904
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1396510475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 LANCASTER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121635",
            "telephone_number": "610-984-1166",
            "fax_number": "610-628-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERVASI",
        "first_name": "ANGELA",
        "middle_name": "CATERINA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT031888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Gallagher, R PH
• Thomas Albert Galullo, D.D.S.
• Gabrielle Marie Caponigro Geib, L.AC.
• Genhealth LLC
• Michael Gerard
• Christine Giddings
• Patricia A Gillin
• Marina Giolas, PH.D.
• Tessa Glennon, OT
• Rhonda Baldwin Goodchild

• Physical Therapist in Berwyn, PA
• Providers in Berwyn, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.