Powerback Willow Grove

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

POWERBACK WILLOW GROVE

Practice address

3485 Davisville Rd
Hatboro, PA 19040-4220

Phone

(215) 830-5126

NPI assigned

Oct 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kathryn Barry

Title

Program Manager

Phone

(215) 830-5127

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1548664675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 DAVISVILLE RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190404220",
            "telephone_number": "215-830-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 DAVISVILLE RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190404220",
            "telephone_number": "215-830-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERBACK WILLOW GROVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "215-830-5127",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad Robert Pieszala, D.M.D.
• Diane Plohocky
• Nancy J.M. Polin, MSN, CRNP
• Antonella Pontoriero, PSYD
• Frank David Potera, DC
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• Albert J. Principe, PTA
• Professional Clinical Forum
• Promedica Senior Care of Willow Grove PA, LLC

• Skilled Nursing Facility in Hatboro, PA
• Providers in Hatboro, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.