Individual provider Active NPI

Karl Alexander Nivison, PT

  • Physical Therapist
  • Malvern, PA
National Provider Identifier
1699235432
Registry record updated Oct 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT027609 Issued in PA
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

Updated by the provider on Oct 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20190627000214 PA Practitioner - Physical Therapist in Private Practice 8628302544 Reassigns benefits to 3 organizations

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
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

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

LicenseStateTypeSpecialty
PT027609PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Apr 13, 2019 Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Jul 25, 2021 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Jul 27, 2020 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.

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.

Verify at the official NPI Registry.