Active NPI
Peter Michael Mohacey, MPT
- Physical Therapist
- Ft Washington, PA
National Provider Identifier
1689678369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007797L
- Practice address
- 270 Commerce Dr
Ste 190
Ft Washington, PA 19034-2405 - Phone
- (215) 654-1520
- Fax
- (215) 654-1529
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007797L | PA | Primary |
Addresses
Primary practice location
270 Commerce Dr
Ste 190
Ft Washington, PA 19034-2405
Mailing address
1111 Hagues Mill Rd
Ambler, PA 19002-6000
Phone (215) 646-2025
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2112462000 | Other | PA | KEYSTONE HEALTHPLAN EAST |
| 1426092 | Other | PA | IBC |
| 3104173 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1310 Savannah Rd
Lewes, DE 19958-1526
Phone (302) 645-6470
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shore Movement Physical Therapy, P.a. | Physical Therapist | Current | Accepting new patients |
Locations
1310 Savannah Rd
Lewes, DE 19958
Phone (215) 654-1520
270 Commerce Dr
Ste 190
Ft Washington, PA 19034
Phone (215) 654-1520
Organizations & group practices 1
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.
-
- Physical Therapist
- Lewes, DE
- NPI 1811093313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689678369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 HAGUES MILL RD",
"city": "AMBLER",
"state": "PA",
"postal_code": "190026000",
"telephone_number": "215-646-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 COMMERCE DR",
"address_2": "STE 190",
"city": "FT WASHINGTON",
"state": "PA",
"postal_code": "190342405",
"telephone_number": "215-654-1520",
"fax_number": "215-654-1529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHACEY",
"first_name": "PETER",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT007797L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTHPLAN EAST",
"identifier": "2112462000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "1426092",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3104173",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ft Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.