Individual provider Active NPI

Maria Rowena Medilo, RPT

  • Physical Therapist
  • Blue Bell, PA
National Provider Identifier
1548507098
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT022502 Issued in PA
Practice address
9000 Twin Silo Dr
Blue Bell, PA 19422-4202
Phone
(215) 661-1614
NPI assigned
Jan 3, 2013
Last updated
Jan 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT022502 PA Primary
Physical Therapist 225100000X J1-0002897 DE

Addresses

Primary practice location

9000 Twin Silo Dr
Blue Bell, PA 19422-4202

Mailing address

505 121St PL NE # 2
Bellevue, WA 98005-3161
Phone (206) 708-0198

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
J1-0002897DEMDPhysical Therapist
PT022502PAMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1548507098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 121ST PL NE # 2",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053161",
            "telephone_number": "206-708-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 TWIN SILO DR",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194224202",
            "telephone_number": "215-661-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDILO",
        "first_name": "MARIA ROWENA",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022502",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.