Active NPI
Marina H. Opdam, PT
- Orthopedic Physical Therapist
- Chalfont, PA
National Provider Identifier
1467751503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT012641L
- Practice address
- 1500 Horizon Dr
Suite 102E
Chalfont, PA 18914-3966 - Phone
- (215) 712-0300
- Fax
- (215) 712-9040
- NPI assigned
- Mar 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT012641L | PA | Primary |
Addresses
Primary practice location
1500 Horizon Dr
Suite 102E
Chalfont, PA 18914-3966
Mailing address
676 Dekalb Pike
Suite 205
Blue Bell, PA 19422-1223
Phone (610) 270-0370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1467751503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 DEKALB PIKE",
"address_2": "SUITE 205",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194221223",
"telephone_number": "610-270-0370",
"fax_number": "610-270-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 HORIZON DR",
"address_2": "SUITE 102E",
"city": "CHALFONT",
"state": "PA",
"postal_code": "189143966",
"telephone_number": "215-712-0300",
"fax_number": "215-712-9040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPDAM",
"first_name": "MARINA",
"middle_name": "H.",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-15",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT012641L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chalfont, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.