Individual provider Active NPI

Maureen H. Seasholtz, P.T.

  • Physical Therapist
  • Bala Cynwyd, PA
National Provider Identifier
1417026113
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-013129-L Issued in PA
Practice address
1 Bala PLZ
Suite 134
Bala Cynwyd, PA 19004-1403
Phone
(610) 668-4055
NPI assigned
Nov 7, 2006
Sex
Female
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
Physical Therapist 225100000X PT-013129-L PA Primary

Addresses

Primary practice location

1 Bala PLZ
Suite 134
Bala Cynwyd, PA 19004-1403

Mailing address

130 Morningside Cir
Wayne, PA 19087-2961
Phone (610) 995-2966

Other identifiers 2

IdentifierTypeStateIssuer
1586229OtherPAHIGHMARK BLUE SHIELD
2264772000OtherPAINDEPENDENCE BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070117000012 PA Practitioner - Physical Therapist in Private Practice 2961403019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Body Rebuilders, P.C.Group PAC ID 2961309786, 4 clinicians

Practice addresses (Care Compare)

1 Belmont Ave
Suite 400
Bala Cynwyd, PA 19004-1607
Phone (610) 668-4055

Merit-based Incentive Payment System (MIPS)

Final score
88.06 of 100Reported as group
Quality
82.38
Improvement activities
40
Cost
83.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-013129-LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
One Physical Therapy and Wellness, LLC Physical Therapist CurrentSince Dec 10, 2015 Accepting new patients
Body Rebuilders, P.C. Physical Therapist CurrentSince Jan 1, 2012 Accepting new patients

Locations

1 Belmont Ave
Ste 400
Belmont Hills, PA 19004
Phone (610) 668-4055

864 County Line Rd
Bryn Mawr, PA 19010
Phone (610) 581-0111

Organizations & group practices 2

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417026113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MORNINGSIDE CIR",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872961",
            "telephone_number": "610-995-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALA PLZ",
            "address_2": "SUITE 134",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041403",
            "telephone_number": "610-668-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEASHOLTZ",
        "first_name": "MAUREEN",
        "middle_name": "H.",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-013129-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1586229",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2264772000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, 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.