Active NPI
Matthew Thomas Diller
- Physical Therapist
- Newtown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT024525
- Practice address
- 170 Pheasant Run Ste 202
Newtown, PA 18940-1877 - Phone
- (215) 579-0777
- NPI assigned
- Nov 9, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT024525 | PA | Primary |
Addresses
Primary practice location
170 Pheasant Run Ste 202
Newtown, PA 18940-1877
Mailing address
981 US Highway 22
Bridgewater, NJ 08807-2946
Phone (201) 801-7141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2329 Bristol Rd
Bensalem, PA 19020-6000
Phone (215) 918-9601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT024525 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bucks Physical & Sports Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Bucks Physical & Sports Rehabilitation | Physical Therapist | Past | Accepting new patients |
Locations
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
2329 Bristol Rd
Bensalem, PA 19020
Phone (215) 918-9601
170 Pheasant Run
Ste 202
Newtown, PA 18940
Phone (215) 201-4605
100 Almshouse Rd
Richboro, PA 18954
Phone (215) 357-2000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1932179215
-
- Physical Therapist
- Warminster, PA
- NPI 1225155682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1619685542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981 US HIGHWAY 22",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088072946",
"telephone_number": "201-801-7141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 PHEASANT RUN STE 202",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401877",
"telephone_number": "215-579-0777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLER",
"first_name": "MATTHEW",
"middle_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-09",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT024525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.