Organization Active NPI

Classic Physical Therapy and Rehab Center, Inc

  • Physical Therapist
  • Havertown, PA
National Provider Identifier
1558447474
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CLASSIC PHYSICAL THERAPY AND REHAB CENTER, INC
Practice address
525 W Chester Pike
Suite 104
Havertown, PA 19083
Phone
(610) 626-9808
Fax
(610) 626-9919
NPI assigned
Oct 31, 2006
Last updated
Mar 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Mr. Drew J Barnabei, P.T.NPI 1467539320
Title
Owner/President
Phone
(610) 368-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

525 W Chester Pike
Suite 104
Havertown, PA 19083

Mailing address

525 W Chester Pike
Suite 104
Havertown, PA 19083
Phone (610) 626-9808

Other identifiers 5

IdentifierTypeStateIssuer
2349425000OtherPAINDEPENDENCE BLUE CROSS
1672872OtherPAHIGHMARK BLUE SHIELD
106131500OtherPADEPT OF LABOR
220830800OtherPAKEYSTONE HEALTHPLAN EAST
P00227271OtherPARAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address classicptrehab@comcast.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050209000036 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9830140649 Receives reassigned benefits from 1 practitioner
Practice locations: Havertown, PA

National Provider Directory

National Provider Directory
Tax ID family
Classic Physical Therapy and Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5030 State Rd
Ste 1000
Drexel Hill, PA 19026
Phone (610) 368-3937

525 W Chester Pike
Ste 104
Havertown, PA 19083
Phone (610) 626-9808

3270 Chichester Ave
#8
Upper Chichester, PA 19061
Phone (610) 485-4403

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1558447474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W CHESTER PIKE",
            "address_2": "SUITE 104",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "610-626-9808",
            "fax_number": "610-626-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W CHESTER PIKE",
            "address_2": "SUITE 104",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "610-626-9808",
            "fax_number": "610-626-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC PHYSICAL THERAPY AND REHAB CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "BARNABEI",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "610-368-3937",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2349425000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1672872",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "106131500",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTHPLAN EAST",
            "identifier": "220830800",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00227271",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "classicptrehab@comcast.net",
            "affiliation": "N",
            "endpointDescription": "Practice's E-mail Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "E-mail",
            "address_1": "525 W Chester Pike Ste 104",
            "city": "Havertown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190834539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.