NPIMap

Organization Active NPI

Total Performance Physical Therapy

  • Physical Therapy Clinic/Center
  • North Wales, PA
National Provider Identifier
1639465644
Registry record updated Oct 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
17352 Issued in PA
Legal business name
TOTAL PERFORMANCE PHYSICAL THERAPY
Practice address
1501 Lower State Rd
Suite 308
North Wales, PA 19454-1216
Phone
(215) 997-9898
Fax
(215) 997-9899
NPI assigned
Jun 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2011

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

Authorized official

Name
Heather Erica Moore, PTNPI 1962426379
Title
Owner
Phone
(215) 997-9898

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 Therapy Clinic/Center 261QP2000X 17352 PA Primary

Addresses

Primary practice location

1501 Lower State Rd
Suite 308
North Wales, PA 19454-1216

Mailing address

1501 Lower State Rd
Ste 308
North Wales, PA 19454-1216
Phone (215) 997-9898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111207000022 PA Part B Supplier - Clinic/Group Practice 7517132343 Receives reassigned benefits from 24 practitioners
Practice locations: Dublin, PA; East Norriton, PA; Harleysville, PA; Hatfield, PA; Horsham, PA; Norristown, PA; North Wales, PA

National Provider Directory

National Provider Directory

Locations

317 W Germantown Pike
Ste 101
East Norriton, PA 19403
Phone (215) 997-9898

371 Main St
Ste D
Harleysville, PA 19438
Phone (215) 866-2585

2278 N Penn Rd
Hatfield, PA 19440
Phone (215) 997-9898

401 Horsham Rd
Ste 201
Horsham, PA 19044
Phone (215) 997-9898

1547 DeKalb St
Norristown, PA 19401
Phone (215) 997-9898

1501 Lower State Rd
Ste 205
North Wales, PA 19454
Phone (215) 850-9445

1501 Lower State Rd
Ste 308
North Wales, PA 19454
Phone (215) 997-9898

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319932800000",
    "number": "1639465644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LOWER STATE RD",
            "address_2": "STE 308",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541216",
            "telephone_number": "215-997-9898",
            "fax_number": "215-997-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LOWER STATE RD",
            "address_2": "SUITE 308",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541216",
            "telephone_number": "215-997-9898",
            "fax_number": "215-997-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL PERFORMANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-10-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-997-9898",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "17352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2011; 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.