Organization Active NPI

White Horse Village Therapy LLC

  • Multi-Specialty Clinic/Center
  • Newtown Square, PA
National Provider Identifier
1629917885
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WHITE HORSE VILLAGE THERAPY LLC
Practice address
535 Gradyville Road
Outpatient Suite
Newtown Square, PA 19073
Phone
(610) 558-5053
NPI assigned
Mar 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Nathan Niles, CPA
Title
VP of Finance & It
Phone
(610) 558-5029

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

535 Gradyville Road
Outpatient Suite
Newtown Square, PA 19073

Mailing address

535 Gradyville Road
Outpatient Suite
Newtown Square, PA 19073
Phone (610) 558-5053

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1629917885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 GRADYVILLE ROAD",
            "address_2": "OUTPATIENT SUITE",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "19073",
            "telephone_number": "610-558-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 GRADYVILLE ROAD",
            "address_2": "OUTPATIENT SUITE",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "19073",
            "telephone_number": "610-558-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE HORSE VILLAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "NILES",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "VP OF FINANCE & IT",
        "authorized_official_telephone_number": "610-558-5029",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.