Organization Active NPI

Optimum Physical Therapy Associates, P.C.

  • Physical Therapist
  • Swarthmore, PA
National Provider Identifier
1467521427
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OPTIMUM PHYSICAL THERAPY ASSOCIATES, P.C.
Practice address
727 S Chester Rd
Swarthmore, PA 19081-2710
Phone
(610) 543-4605
NPI assigned
Nov 6, 2006
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Mr. Craig S Fava, P.T.NPI 1912962812
Title
President
Phone
(610) 543-4605

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Geriatric Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251G0304X
Sports Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251S0007X
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251X0800X

Addresses

Primary practice location

727 S Chester Rd
Swarthmore, PA 19081-2710

Mailing address

727 S Chester Rd
Swarthmore, PA 19081-2710
Phone (610) 543-4605

Other practice location 1

133 Turner Ln Ste A
West Chester, PA 19380-4533
Phone (610) 344-9725

Other practice location 2

708 W Nields St Ste A
West Chester, PA 19382-2128
Phone (484) 460-3900

Other practice location 3

500 MacDade Blvd Ste 1
Folsom, PA 19033-2318
Phone (484) 866-8100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070410000127 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4880799477 Receives reassigned benefits from 10 practitioners
Practice locations: West Chester, PA; Swarthmore, PA; Folsom, PA

National Provider Directory

National Provider Directory

Locations

500 Macdade Blvd
Ste 1
Folsom, PA 19033
Phone (484) 866-8100

719 S Chester Rd
Swarthmore, PA 19081
Phone (610) 543-4605

727 S Chester Rd
Swarthmore, PA 19081
Phone (610) 543-4605

133 Turner Ln
West Chester, PA 19380
Phone (610) 344-9725

133 Turner Ln
Ste A
West Chester, PA 19380
Phone (610) 344-9725

708 W Nields St
Ste A
West Chester, PA 19382
Phone (484) 460-3900

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1467521427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 S CHESTER RD",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190812710",
            "telephone_number": "610-543-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 S CHESTER RD",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190812710",
            "telephone_number": "610-543-4605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Turner Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193804533",
            "country_code": "US",
            "telephone_number": "610-344-9725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "708 W Nields St Ste A",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193822128",
            "country_code": "US",
            "telephone_number": "484-460-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 MacDade Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "PA",
            "postal_code": "190332318",
            "country_code": "US",
            "telephone_number": "484-866-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMUM PHYSICAL THERAPY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "FAVA",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-543-4605",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swarthmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.