NPIMap

Organization Active NPI

One Physical Therapy and Wellness, LLC

  • Physical Therapist
  • Bryn Mawr, PA
National Provider Identifier
1679804413
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ONE PHYSICAL THERAPY AND WELLNESS, LLC
Practice address
864 County Line Rd
Bryn Mawr, PA 19010-2516
Phone
(610) 909-6511
NPI assigned
Jan 19, 2010
Last updated
Feb 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Meghan B Tierney, PT, MPT, OCSNPI 1013046887
Title
Owner, Physical Therapist
Phone
(610) 909-6511

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PA Primary

Addresses

Primary practice location

864 County Line Rd
Bryn Mawr, PA 19010-2516

Mailing address

864 County Line Rd
Bryn Mawr, PA 19010-2516
Phone (610) 581-0111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100517000670 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1951439694 Receives reassigned benefits from 16 practitioners
Practice locations: Philadelphia, PA; Bryn Mawr, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1679804413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 COUNTY LINE RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102516",
            "telephone_number": "610-581-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 COUNTY LINE RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102516",
            "telephone_number": "610-909-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "610-909-6511",
        "authorized_official_credential": "PT, MPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.