Individual provider Active NPI

Prem Vadodaria

  • Orthopedic Physical Therapist
  • Dresher, PA
National Provider Identifier
1548085822
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT032889 Issued in PA
Practice address
2011 Welsh Rd
Dresher, PA 19025-5502
Phone
(267) 715-4450
NPI assigned
Nov 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT032889 PA Primary

Addresses

Primary practice location

2011 Welsh Rd
Dresher, PA 19025-5502

Mailing address

21 Primrose LN
Huntingdon Valley, PA 19006-5442
Phone (215) 805-0536

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250123001067 PA Practitioner - Physical Therapist in Private Practice 2163951948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

328 Newman Springs Rd
Red Bank, NJ 07701-5654

33 Annapolis Dr
Hazlet, NJ 07730-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehab Somerset PA CurrentSince Nov 24, 2024 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Nov 1, 2024 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Nov 1, 2024 Accepting new patients

Locations

2011 Welsh Rd
Dresher, PA 19025
Phone (267) 715-4450

2011 Welsh Rd
Uppr
Dresher, PA 19025

2826 S Eagle Rd
#121
Newtown, PA 18940

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": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1548085822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PRIMROSE LN",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065442",
            "telephone_number": "215-805-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 WELSH RD",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "190255502",
            "telephone_number": "267-715-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADODARIA",
        "first_name": "PREM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT032889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dresher, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.