Ilan Immerman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT023465 Issued in PA

Practice address

319 W County Line Rd
Ste 9
Hatboro, PA 19040-1605

Phone

(215) 470-1652

Fax

(610) 471-0488

NPI assigned

Aug 27, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sdi Therapy LLCGroup PAC ID 6709290760, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Sdi Therapy, LLC

  • Physical Therapy Clinic/Center
  • Hatboro, PA
  • NPI 1871132126

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Zarett Rehab Associates P.C.

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1770539165
  Medicare reassignment NPD
• Howard J. Gelb MD PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Boca Raton, FL
  • NPI 1558325332

  Physical Therapist

  NPD

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1649528506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W COUNTY LINE RD",
            "address_2": "STE 9",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190401605",
            "telephone_number": "215-470-1652",
            "fax_number": "610-471-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W COUNTY LINE RD",
            "address_2": "STE 9",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190401605",
            "telephone_number": "215-470-1652",
            "fax_number": "610-471-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMMERMAN",
        "first_name": "ILAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-27",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27430",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William A Horn, MD
• Hotmeals LLC
• Feifei Huang, DDS, MS
• Mary Dyer Hubbard, L.P.C.
• Donna Marie Hutt, M.A., CCC-SLP
• Jane Ann Griffith & Assoc
• Nazareno C Javier, LCSW
• John Nellett
• Karen Virginia Johnson, PT
• Lauren Jones

• Physical Therapist in Hatboro, PA
• Providers in Hatboro, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.