Individual provider Active NPI

Phillip Futrick, DPT

  • Orthopedic Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1497096192
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT022618 Issued in PA
Practice address
3110 Grant Ave
Philadelphia, PA 19114-2542
Phone
(215) 464-6600
Fax
(215) 612-4378
NPI assigned
Mar 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT022618 PA Primary

Addresses

Primary practice location

3110 Grant Ave
Philadelphia, PA 19114-2542

Mailing address

PO Box 8500-1672
Philadelphia, PA 19178-1672
Phone (215) 464-6600

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy, LLC Orthopedic Past Accepting new patients
Aria Health Orthopaedics of New Jersey PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1497096192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500-1672",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191781672",
            "telephone_number": "215-464-6600",
            "fax_number": "215-464-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142542",
            "telephone_number": "215-464-6600",
            "fax_number": "215-612-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUTRICK",
        "first_name": "PHILLIP",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-06",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT022618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.