NPIMap

Organization Active NPI

Polishuk Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Ambler, PA
National Provider Identifier
1407601305
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
POLISHUK PHYSICAL THERAPY AND WELLNESS
Practice address
1024 N Bethlehem Pike
Ambler, PA 19002-2114
Phone
(215) 641-9401
Fax
(215) 654-7482
NPI assigned
Apr 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Colleen Perilli
Title
Manager
Phone
(215) 641-9401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1024 N Bethlehem Pike
Ambler, PA 19002-2114

Mailing address

1024 N Bethlehem Pike
Ambler, PA 19002-2114
Phone (215) 641-9401

Other names 1

  • Leonid Polishuk Doing business as

National Provider Directory

National Provider Directory

Locations

1024 N Bethlehem Pike
Ambler, PA 19002
Phone (215) 641-9401

Practitioners & affiliated clinicians

Practitioners 5

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": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1407601305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 N BETHLEHEM PIKE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022114",
            "telephone_number": "215-641-9401",
            "fax_number": "215-654-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 N BETHLEHEM PIKE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022114",
            "telephone_number": "215-641-9401",
            "fax_number": "215-654-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLISHUK PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "PERILLI",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-641-9401"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leonid Polishuk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ambler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.