NPIMap

Organization Active NPI

Motive Sports and Physical Therapy, PLLC

  • Physical Therapist
  • Chadds Ford, PA
National Provider Identifier
1578029575
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOTIVE SPORTS AND PHYSICAL THERAPY, PLLC
Practice address
91 Wilmington W Chester Pike Ste 28
Chadds Ford, PA 19317-9082
Phone
(302) 584-5621
NPI assigned
Feb 14, 2019
Last updated
Jul 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Dr. Mark Phillip Worrilow, PT, DPTNPI 1689073207
Title
Physical Therapist
Phone
(302) 584-5621

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

91 Wilmington W Chester Pike Ste 28
Chadds Ford, PA 19317-9082

Mailing address

540 Hopewell St
Birdsboro, PA 19508-2657

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190809002468 PA Part B Supplier - Clinic/Group Practice 1456688621 Receives reassigned benefits from 16 practitioners
Practice locations: Malvern, PA; Media, PA; Chadds Ford, PA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

91 Wilmington W Chester Pike
Ste 10
Chadds Ford, PA 19317
Phone (610) 991-0493

91 Wilmington W Chester Pike
Ste 28
Chadds Ford, PA 19317
Phone (302) 584-5621

91 Wilmington W Chester Pike
Ste 302
Chadds Ford, PA 19317

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1578029575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 HOPEWELL ST",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195082657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 WILMINGTON W CHESTER PIKE STE 28",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179082",
            "telephone_number": "302-584-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTIVE SPORTS AND PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "WORRILOW",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "302-584-5621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

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