Individual provider Active NPI

Edward Tipton, PT, DPT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1679211445
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
9337 Krewstown Rd Ste 39
Philadelphia, PA 19115-3710
Phone
(215) 676-6760
NPI assigned
May 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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 Primary

Addresses

Primary practice location

9337 Krewstown Rd Ste 39
Philadelphia, PA 19115-3710

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220811000041 PA Practitioner - Physical Therapist in Private Practice 1052794831 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery County Rehabilitation and Sports Therapy PCGroup PAC ID 9032146956, 7 clinicians

Practice addresses (Care Compare)

9622 Bustleton Ave
Philadelphia, PA 19115-3100
Phone (215) 677-8258

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 5, 2022 Accepting new patients
Montgomery County Rehabilitation & Sports Therapy, P.C. Physical Therapist CurrentSince Mar 26, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 5, 2022 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Jun 22, 2022 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

475 Allendale Rd
Ste 206
Kng of Prussa, PA 19406
Phone (610) 270-0370

170 W Germantown Pike
Ste C3
Norristown, PA 19401
Phone (610) 279-6290

9337 Krewstown Rd
Philadelphia, PA 19115
Phone (215) 676-6760

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

9622 Bustleton Ave
Ste 4
Philadelphia, PA 19115
Phone (215) 677-8258

9337 Krewstown Rd
Ste 39
Philadelphia, PA 19115
Phone (215) 676-6760

118 Townsedge Dr
Quarryville, PA 17566
Phone (717) 806-5126

2635 Shillington Rd
Sinking Spring, PA 19608

2635 Shillington Rd
Sinking Spring, PA 19608
Phone (484) 220-1181

Organizations & group practices 4

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": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1679211445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9337 KREWSTOWN RD STE 39",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153710",
            "telephone_number": "215-676-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "EDWARD",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-23",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.