NPIMap

Organization Active NPI

Invictus Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1497402945
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
INVICTUS PHYSICAL THERAPY LLC
Practice address
100 N 20TH St FL 1
Philadelphia, PA 19103-1443
Phone
(267) 548-4476
Fax
(267) 548-4478
NPI assigned
Mar 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Dr. Gabrielle Leigh Rathz, PT, DPT, OCSNPI 1992289896
Title
Physical Therapist
Phone
(267) 838-2163

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

100 N 20TH St FL 1
Philadelphia, PA 19103-1443

Mailing address

100 N 20TH St FL 1
Philadelphia, PA 19103-1443
Phone (267) 548-4476

Other names 1

  • Invictus Physical Therapy and Wellness Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221206000068 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5092184515 Receives reassigned benefits from 9 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

100 N 20th St
Fl 1
Philadelphia, PA 19103
Phone (267) 548-4476

Practitioners & affiliated clinicians

Practitioners 9

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": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1497402945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N 20TH ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031443",
            "telephone_number": "267-548-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 20TH ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031443",
            "telephone_number": "267-548-4476",
            "fax_number": "267-548-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVICTUS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "RATHZ",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "267-838-2163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Invictus Physical Therapy and Wellness",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Invictus Physical Therapy and Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 7, 2023; 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.