Individual provider Active NPI

Brandon R Delboccio

  • Physical Therapist
  • Langhorne, PA
National Provider Identifier
1689144552
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT027408 Issued in PA
Practice address
930 Town Center Dr Ste 610
Langhorne, PA 19047-3503
Phone
(267) 789-2900
Fax
(267) 385-7513
NPI assigned
Dec 4, 2018
Last updated
Feb 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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 PT027408 PA Primary

Addresses

Primary practice location

930 Town Center Dr Ste 610
Langhorne, PA 19047-3503

Mailing address

1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200

Other practice location 1

3887 Skippack Pike
Lower Level Amin Medical Center
Skippack, PA 19474
Phone (610) 584-1400

Other practice location 2

120 Pheasant Run
Newtown, PA 18940-1821
Phone (215) 944-6031

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190122000646 PA Practitioner - Physical Therapist in Private Practice 6800133463 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

2395 York Rd
Suite 7
Jamison, PA 18929-1071
Phone (267) 620-2233

3400 Lancaster Ave
Philadelphia, PA 19104-4964
Phone (215) 662-0397

7720 W Chester Pike
Upper Darby, PA 19082-1913
Phone (610) 924-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT027408PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mishock Physical Therapy LP Physical Therapist CurrentSince Dec 3, 2018 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Feb 17, 2020 Accepting new patients
Mishock Physical Therapy LP Physical Therapist Current Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Feb 25, 2024 Accepting new patients

Locations

560 N Route 100
Bechtelsville, PA 19505
Phone (610) 845-5000

1806 Swamp Pike
#100
Gilbertsville, PA 19525
Phone (610) 327-2600

575 Horsham Rd
Unit B16
Horsham, PA 19044
Phone (215) 364-5893

2395 York Rd
Ste 7
Jamison, PA 18929
Phone (215) 987-3677

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

120 Pheasant Run
Newtown, PA 18940
Phone (215) 360-3940

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1689144552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-580-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 TOWN CENTER DR STE 610",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473503",
            "telephone_number": "267-789-2900",
            "fax_number": "267-385-7513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3887 Skippack Pike",
            "address_2": "Lower Level Amin Medical Center",
            "address_purpose": "LOCATION",
            "city": "Skippack",
            "state": "PA",
            "postal_code": "19474",
            "country_code": "US",
            "telephone_number": "610-584-1400",
            "fax_number": "610-584-5224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Pheasant Run",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189401821",
            "country_code": "US",
            "telephone_number": "215-944-6031",
            "fax_number": "267-434-3075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELBOCCIO",
        "first_name": "BRANDON",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-04",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.