Active NPI
Karl Alexander Nivison, PT
- Physical Therapist
- Malvern, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT027609
- Practice address
- 233 E King St Ste 103
Malvern, PA 19355-2574 - Phone
- (484) 318-7241
- Fax
- (484) 318-1790
- NPI assigned
- Mar 20, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT027609 | PA | Primary |
| Orthopedic Physical Therapist | 2251X0800X |
Addresses
Primary practice location
233 E King St Ste 103
Malvern, PA 19355-2574
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050
Other practice location 1
83 Dowlin Forge Rd
Exton, PA 19341-1548
Phone (610) 363-9060
Other practice location 2
708 Main St
Harleysville, PA 19438-1636
Phone (267) 932-9177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
233 E King St
Suite 103
Malvern, PA 19355-2574
Phone (484) 318-7241
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT027609 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic and Sports Physical Therapy Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Physical Therapy and Wellness Institute LLC | Physical Therapist | Current | Accepting new patients |
| Progress Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282
83 Dowlin Forge Rd
Exton, PA 19341
Phone (610) 363-9060
708 Main St
Harleysville, PA 19438
Phone (267) 932-9177
475 Allendale Rd
Ste 206
Kng of Prussa, PA 19406
Phone (610) 270-0370
730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871
233 E King St
Ste 103
Malvern, PA 19355
Phone (484) 318-7214
Organizations & group practices 3
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
- Philadelphia, PA
- NPI 1164851085
-
- Physical Therapist
- Philadelphia, PA
- NPI 1588661235
-
- Physical Therapist
- Lansdale, PA
- NPI 1740208339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634947200000",
"number": "1699235432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MAMARONECK AVE STE 140",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055224",
"telephone_number": "914-294-4050",
"fax_number": "631-760-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 E KING ST STE 103",
"city": "MALVERN",
"state": "PA",
"postal_code": "193552574",
"telephone_number": "484-318-7241",
"fax_number": "484-318-1790"
}
],
"practiceLocations": [
{
"address_1": "83 Dowlin Forge Rd",
"address_purpose": "LOCATION",
"city": "Exton",
"state": "PA",
"postal_code": "193411548",
"country_code": "US",
"telephone_number": "610-363-9060",
"fax_number": "610-363-9064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "708 Main St",
"address_purpose": "LOCATION",
"city": "Harleysville",
"state": "PA",
"postal_code": "194381636",
"country_code": "US",
"telephone_number": "267-932-9177",
"fax_number": "267-932-9180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIVISON",
"first_name": "KARL",
"middle_name": "ALEXANDER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-20",
"last_updated": "2021-10-23",
"certification_date": "2021-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT027609",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malvern, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; 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.