Wade D Shiley, MSPT
Individual provider Active NPI Physical Therapist · Cherry Hill, NJ
NPI 1598894958 · NPPES record last updated Apr 23, 2013
Key facts
- NPI
- 1598894958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT012347L (PA)
- Practice address
- 7 Carnegie PLZ
Cherry Hill, NJ 08003-1000 - Phone
- (877) 407-3422
- Fax
- (877) 407-4329
- NPI assigned
- Mar 3, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Rehabilitation Services Inc
Practice addresses (Care Compare)
10475 Perry Hwy
Suite 106G
Wexford, PA 15090-9213
Phone (877) 407-4322
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060503000064 | PA | Practitioner - Physical Therapist in Private Practice | 8921018110 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012347L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Inc | Physical Therapist | Current |
Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
345 Maplewood Ave
Ambridge, PA 15003
Phone (724) 266-9626
470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800
33 E Chestnut Hill Ave
Ste 204
Philadelphia, PA 19118
Phone (215) 247-7990
10475 Perry Hwy
Ste 106G
Wexford, PA 15090
Phone (877) 407-4322
1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012347L | PA | Yes |
Addresses
Primary practice location
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Mailing address
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422
Other providers in Cherry Hill, NJ
- Valerie Marie Sherwin
- Yiwen Shi
- Luke Shieh
- Antoinette Shields
- Alan Shienbaum
- Marlena Shilman
- Nicole Soojin Shim
- Serena Shim
- Betty S Shimberg
- Jong T Shin
All providers in Cherry Hill, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.