Individual provider Active NPI

Nicole Paige Neely, MPT

  • Physical Therapist
  • Harleysville, PA
National Provider Identifier
1497870984
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009771L Issued in PA
Practice address
708 Main St
Harleysville, PA 19438-1636
Phone
(267) 932-9177
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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 PT009771L PA Primary

Addresses

Primary practice location

708 Main St
Harleysville, PA 19438-1636

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050

Other practice location 1

350 Haws Ln
Flourtown, PA 19031-2100
Phone (215) 836-3232

Other practice location 2

1603 E High St
Pottstown, PA 19464-5061
Phone (484) 624-3096

Other practice location 3

10 Glocker Way
Pottstown, PA 19465-9649
Phone (610) 323-4300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721000614 PA Practitioner - Physical Therapist in Private Practice 7113387127 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

10 Glocker Way
Pottstown, PA 19465-9649
Phone (610) 323-4300

1440 W Broad St
Quakertown, PA 18951-1161
Phone (215) 538-9911

1603 E High St
Suite a
Pottstown, PA 19464-5061
Phone (484) 624-3096

3400 Lancaster Ave
Philadelphia, PA 19104-4964
Phone (215) 662-0397

686 Dekalb Pike
Suite 101
Blue Bell, PA 19422-1258
Phone (610) 270-0300

708 Main St
Harleysville, PA 19438-1636
Phone (267) 932-9177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Jun 7, 2023 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Jun 7, 2023 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Jun 7, 2023 Accepting new patients

Locations

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

708 Main St
Harleysville, PA 19438
Phone (267) 932-9177

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

10 Glocker Way
Pottstown, PA 19465
Phone (610) 323-4300

Organizations & group practices 3

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1497870984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 MAIN ST",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381636",
            "telephone_number": "267-932-9177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Haws Ln",
            "address_purpose": "LOCATION",
            "city": "Flourtown",
            "state": "PA",
            "postal_code": "190312100",
            "country_code": "US",
            "telephone_number": "215-836-3232",
            "fax_number": "215-836-5863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1603 E High St",
            "address_purpose": "LOCATION",
            "city": "Pottstown",
            "state": "PA",
            "postal_code": "194645061",
            "country_code": "US",
            "telephone_number": "484-624-3096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Glocker Way",
            "address_purpose": "LOCATION",
            "city": "Pottstown",
            "state": "PA",
            "postal_code": "194659649",
            "country_code": "US",
            "telephone_number": "610-323-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEELY",
        "first_name": "NICOLE",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009771L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harleysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.