Active NPI
Samantha Maria Gorrell
- Physical Therapist
- Abington, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016903
- Practice address
- 1915 Guernsey Ave
Abington, PA 19001-3701 - Phone
- (215) 659-8600
- Fax
- (215) 659-4498
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01899700 | NJ | |
| Physical Therapist | 225100000X | PT | PA | |
| Physical Therapist | 225100000X | PT016903 | PA | Primary |
Addresses
Primary practice location
1915 Guernsey Ave
Abington, PA 19001-3701
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 777-8705
Other practice location 1
638 Brandywine Pkwy
West Chester, PA 19380-4278
Phone (610) 436-3600
Other practice location 2
800 Denow Rd Ste U
Pennington, NJ 08534-5246
Phone (609) 737-8130
Other names 1
- Samantha Maria Mattoccia
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016903 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progress Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network, Inc. | Physical Therapist | Current | Accepting new patients |
| Theraplay, LLC | Physical Therapist | Past | Accepting new patients |
| Theraplay, LLC | Past | Accepting new patients |
Locations
210 North Ave E
Cranford, NJ 07016
Phone (908) 272-6300
731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780
454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905
800 Denow Rd
Ste U
Pennington, NJ 08534
Phone (609) 737-8130
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
1915 Guernsey Ave
Abington, PA 19001
Phone (215) 659-8600
3537 West Chester Pike
Newtown Square, PA 19073
Phone (610) 601-9177
800 Upper State Rd
North Wales, PA 19454
Phone (215) 855-1160
Organizations & group practices 5
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.
-
- Physical Therapist
- Philadelphia, PA
- NPI 1164851085
-
- Physical Therapist
- Hoboken, NJ
- NPI 1174577274
-
- Physical Medicine & Rehabilitation Physician
- Cranford, NJ
- NPI 1699590265
Physical Therapist
-
- Clinic/Center
- West Chester, PA
- NPI 1982032793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1508986928",
"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": "914-777-8705",
"fax_number": "631-760-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 GUERNSEY AVE",
"city": "ABINGTON",
"state": "PA",
"postal_code": "190013701",
"telephone_number": "215-659-8600",
"fax_number": "215-659-4498"
}
],
"practiceLocations": [
{
"address_1": "638 Brandywine Pkwy",
"address_purpose": "LOCATION",
"city": "West Chester",
"state": "PA",
"postal_code": "193804278",
"country_code": "US",
"telephone_number": "610-436-3600",
"fax_number": "610-436-3606",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Denow Rd Ste U",
"address_purpose": "LOCATION",
"city": "Pennington",
"state": "NJ",
"postal_code": "085345246",
"country_code": "US",
"telephone_number": "609-737-8130",
"fax_number": "609-737-8131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORRELL",
"first_name": "SAMANTHA",
"middle_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01899700",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT016903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "MATTOCCIA",
"middle_name": "MARIA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Abington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.