NPIMap

Organization Active NPI

Joint & Spine Physical Therapy, LLC

  • Physical Therapist
  • Newtown Square, PA
National Provider Identifier
1477584498
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012940L Issued in PA
Legal business name
JOINT & SPINE PHYSICAL THERAPY, LLC
Practice address
4647 W Chester Pike
Newtown Square, PA 19073-2226
Phone
(610) 353-7533
Fax
(610) 353-7535
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Martin A. Zackroff, MPTNPI 1982601597
Title
Owner/Physical Therapist
Phone
(610) 353-7533

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 PT012940L PA Primary

Addresses

Primary practice location

4647 W Chester Pike
Newtown Square, PA 19073-2226

Mailing address

4647 W Chester Pike
Newtown Square, PA 19073-2226
Phone (610) 353-7533

Other names 1

  • Joint & spine Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050208000755 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1658322524 Receives reassigned benefits from 5 practitioners
Practice locations: Kennett Square, PA; Newtown Square, PA; West Chester, PA

National Provider Directory

National Provider Directory
Tax ID family
Joint Spine Phys Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

555 Lancaster Ave
Ste C
Berwyn, PA 19312
Phone (484) 318-8274

Practitioners & affiliated clinicians

Practitioners 5

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": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1477584498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 W CHESTER PIKE",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732226",
            "telephone_number": "610-353-7533",
            "fax_number": "610-353-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 W CHESTER PIKE",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732226",
            "telephone_number": "610-353-7533",
            "fax_number": "610-353-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT & SPINE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "ZACKROFF",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "610-353-7533",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT012940L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joint & spine Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.