Organization Active NPI

Isleib Center PLLC

  • Physical Medicine & Rehabilitation Physician
  • Wayne, PA
National Provider Identifier
1407539026
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ISLEIB CENTER PLLC
Practice address
101 E Lancaster Ave Ste 306
Wayne, PA 19087-3544
Phone
(610) 488-2931
NPI assigned
Aug 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Andrew Isleib, DONPI 1811317431
Title
Owner
Phone
(610) 488-2931

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

101 E Lancaster Ave Ste 306
Wayne, PA 19087-3544

Mailing address

101 E Lancaster Ave Ste 306
Wayne, PA 19087-3544
Phone (610) 488-2931

Other practice location 1

140 Nutt Rd
Phoenixville, PA 19460-3906
Phone (610) 983-1601

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231129001644 PA Part B Supplier - Clinic/Group Practice 8527416742 Receives reassigned benefits from 1 practitioner
Practice locations: Wayne, PA; Phoenixville, PA

National Provider Directory

National Provider Directory

Locations

101 E Lancaster Ave
Ste 306
Wayne, PA 19087
Phone (610) 488-2931

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": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1407539026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E LANCASTER AVE STE 306",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873544",
            "telephone_number": "610-488-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E LANCASTER AVE STE 306",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873544",
            "telephone_number": "610-488-2931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Nutt Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenixville",
            "state": "PA",
            "postal_code": "194603906",
            "country_code": "US",
            "telephone_number": "610-983-1601",
            "fax_number": "610-422-5477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ISLEIB CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "ISLEIB",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-488-2931",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.