Individual provider Active NPI

John R Cerminara, MPT

  • Specialist
  • Plymouth Meeting, PA
National Provider Identifier
1407984875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT015324 Issued in PA
Practice address
2250 Hickory Rd Ste 240
Plymouth Meeting, PA 19462-2225
Phone
(800) 879-4471
Fax
(610) 834-7525
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT015324 PA Primary

Addresses

Primary practice location

2250 Hickory Rd Ste 240
Plymouth Meeting, PA 19462-2225

Mailing address

331 Countryside CT
Collegeville, PA 19426-1744
Phone (610) 489-3715

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000835 PA Practitioner - Physical Therapist in Private Practice 7719956275 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery County Rehabilitation and Sports Therapy PCGroup PAC ID 9032146956, 7 clinicians

Practice addresses (Care Compare)

170 W Germantown Pike
Suite C3
Norristown, PA 19401-1389
Phone (610) 279-6290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015324PAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabcare Group East, LLC CurrentSince Sep 13, 2023 Accepting new patients
Montgomery County Rehabilitation & Sports Therapy, P.C. CurrentSince Jan 23, 2025 Accepting new patients
Rehabcare Group East, LLC CurrentSince Sep 13, 2023 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Past Accepting new patients
Mishock Physical Therapy & Associates, LLC Past Accepting new patients

Locations

110 W Wissahickon Ave
Flourtown, PA 19031
Phone (215) 248-7801

170 W Germantown Pike
Ste C3
Norristown, PA 19401
Phone (610) 279-6290

1537 Washington Rd
Pittsburgh, PA 15228
Phone (412) 341-4400

1837 Davisville Rd
Willow Grove, PA 19090

1837 Davisville Rd
Frnt
Willow Grove, PA 19090
Phone (215) 885-2022

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407984875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 COUNTRYSIDE CT",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194261744",
            "telephone_number": "610-489-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HICKORY RD STE 240",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622225",
            "telephone_number": "800-879-4471",
            "fax_number": "610-834-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERMINARA",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT015324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.