Individual provider Active NPI

Samantha Maria Gorrell

  • Physical Therapist
  • Abington, PA
National Provider Identifier
1508986928
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016903 Issued in PA
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

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
PT016903PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Aug 2, 2021 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Aug 2, 2021 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.

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.

Verify at the official NPI Registry.