Individual provider Active NPI

Maryann Prichett, PT

  • Physical Therapist
  • Willow Grove, PA
National Provider Identifier
1649625906
Registry record updated Apr 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT005124L Issued in PA
Practice address
2510 Maryland Rd
Willow Grove, PA 19090-1109
Phone
(215) 481-5800
NPI assigned
Apr 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT005124L PA Primary

Addresses

Primary practice location

2510 Maryland Rd
Willow Grove, PA 19090-1109

Mailing address

909 Church Rd
Oreland, PA 19075-2302
Phone (215) 285-9305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830004401 PA Practitioner - Physical Therapist in Private Practice 4183008733 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Fitness, LLC Physical Therapist CurrentSince Nov 1, 2025 Accepting new patients
Abington Memorial Hospital Past Accepting new patients

Locations

2300 New Rd
Ste 103
Northfield, NJ 08225
Phone (609) 204-4849

937 Paoli Pike
West Chester, PA 19380
Phone (609) 204-4849

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.

NPI Registry JSON

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

{
    "created_epoch": "1461456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461456000000",
    "number": "1649625906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 CHURCH RD",
            "city": "ORELAND",
            "state": "PA",
            "postal_code": "190752302",
            "telephone_number": "215-285-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 MARYLAND RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901109",
            "telephone_number": "215-481-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICHETT",
        "first_name": "MARYANN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-24",
        "last_updated": "2016-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005124L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2016; 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.