Organization Active NPI

Makefield Physical Therapy Inc

  • Physical Therapist
  • Yardley, PA
National Provider Identifier
1457498446
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004069L Issued in PA
Legal business name
MAKEFIELD PHYSICAL THERAPY INC
Practice address
680 Heacock Rd
Suite 200a
Yardley, PA 19067-6346
Phone
(215) 321-6989
Fax
(215) 321-7217
NPI assigned
Jan 31, 2007
Last updated
Dec 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Mr. Kenneth T. Ritchie, PTNPI 1205985918
Title
Owner
Phone
(215) 321-6989

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT004069L PA Primary

Addresses

Primary practice location

680 Heacock Rd
Suite 200a
Yardley, PA 19067-6346

Mailing address

680 Heacock Rd
Suite 200a
Yardley, PA 19067-6346
Phone (215) 321-6989

Other identifiers 1

IdentifierTypeStateIssuer
001583062OtherPAOTHER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111208000348 PA Part B Supplier - Clinic/Group Practice 0941475677 Receives reassigned benefits from 1 practitioner
Practice locations: Yardley, PA

National Provider Directory

National Provider Directory

Locations

680 Heacock Rd
Ste 200A
Yardley, PA 19067
Phone (215) 321-6989

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1457498446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 HEACOCK RD",
            "address_2": "SUITE 200A",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190676346",
            "telephone_number": "215-321-6989",
            "fax_number": "215-321-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 HEACOCK RD",
            "address_2": "SUITE 200A",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190676346",
            "telephone_number": "215-321-6989",
            "fax_number": "215-321-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKEFIELD PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "RITCHIE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-321-6989",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT004069L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "001583062",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.