Individual provider Active NPI

Michael Elban, PT

  • Physical Therapist
  • Quakertown, PA
National Provider Identifier
1497186324
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT023274 Issued in PA
Practice address
1534 Park Ave Ste 110
Quakertown, PA 18951-1085
Phone
(267) 424-8750
NPI assigned
Dec 3, 2013
Last updated
Mar 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT023274 PA Primary

Addresses

Primary practice location

1534 Park Ave Ste 110
Quakertown, PA 18951-1085

Mailing address

1534 Park Ave Ste 110
Quakertown, PA 18951-1085
Phone (267) 424-8750

Other practice location 1

800 W State St
Suite 202
Doylestown, PA 18901-2250
Phone (215) 348-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140124001363 PA Practitioner - Physical Therapist in Private Practice 1052549813 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT023274PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks County Orthopedic Specialists, PC CurrentSince Dec 1, 2013 Accepting new patients
Bucks County Orthopedic Specialists, PC CurrentSince Dec 1, 2013 Accepting new patients
St. Luke's Quakertown Hospital PastSince Mar 29, 2020 Accepting new patients
Thomas E Mackell MD LTD Physical Therapist Past Accepting new patients

Locations

593 W State St
Ste 201
Doylestown, PA 18901
Phone (215) 348-7000

800 W State St
Ste 201
Doylestown, PA 18901
Phone (215) 348-4478

2800 Kelly Rd
Ste 300
Warrington, PA 18976
Phone (215) 348-3068

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1497186324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 PARK AVE STE 110",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511085",
            "telephone_number": "267-424-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 PARK AVE STE 110",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511085",
            "telephone_number": "267-424-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W State St",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Doylestown",
            "state": "PA",
            "postal_code": "189012250",
            "country_code": "US",
            "telephone_number": "215-348-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELBAN",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-03",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quakertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.