Organization Active NPI

Total Physical Therapy Inc

  • Physical Therapist
  • Feasterville Trevose, PA
National Provider Identifier
1467087312
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TOTAL PHYSICAL THERAPY INC
Practice address
1932 Saxon Dr
Feasterville Trevose, PA 19053-3358
Phone
(215) 917-6557
NPI assigned
Mar 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Renata Garderwicz, MSPT
Title
Owner/President
Phone
(215) 917-6557

Specialties & licenses 1

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

Addresses

Primary practice location

1932 Saxon Dr
Feasterville Trevose, PA 19053-3358

Mailing address

1932 Saxon Dr
Feasterville Trevose, PA 19053-3358

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200429001137 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789014051 Receives reassigned benefits from 1 practitioner
Practice locations: Feasterville Trevose, PA

National Provider Directory

National Provider Directory

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": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1467087312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 SAXON DR",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190533358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 SAXON DR",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190533358",
            "telephone_number": "215-917-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "GARDERWICZ",
        "authorized_official_first_name": "RENATA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "215-917-6557",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.