Individual provider Active NPI

Pamela Ann Hibbs

  • Orthopedic Physical Therapist
  • Bensalem, PA
National Provider Identifier
1649338229
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
16428 Issued in PA
Practice address
One Greenwood Square Suite 320
3333 Street Road
Bensalem, PA 19020
Phone
(215) 638-3597
Fax
(215) 638-7430
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 16428 PA Primary

Addresses

Primary practice location

One Greenwood Square Suite 320
3333 Street Road
Bensalem, PA 19020

Mailing address

711 Woodlyn Drive
Langhorne, PA 19053
Phone (215) 357-0697

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070201000155 PA Practitioner - Physical Therapist in Private Practice 2961404108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Comprehensive Sports Care Specialists IncGroup PAC ID 7810979440, 6 clinicians

Practice addresses (Care Compare)

121 Friends LN
Suite 700
Newtown, PA 18940-1897
Phone (215) 497-9758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16428PAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Sports Care Specialists Inc Orthopedic CurrentSince Jan 2, 2007 Accepting new patients

Locations

3333 Street Rd
Ste 320
Bensalem, PA 19020
Phone (215) 638-3597

3554 Street Rd
Bensalem, PA 19020
Phone (215) 638-3597

121 Friends Ln
Ste 700
Newtown, PA 18940
Phone (215) 497-9758

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1649338229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 WOODLYN DRIVE",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "19053",
            "telephone_number": "215-357-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE GREENWOOD SQUARE SUITE 320",
            "address_2": "3333 STREET ROAD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "19020",
            "telephone_number": "215-638-3597",
            "fax_number": "215-638-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBS",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "16428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.

Verify at the official NPI Registry.