Organization Active NPI

Speedway Rehab, PC

  • Physical Therapy Clinic/Center
  • Maple Glen, PA
National Provider Identifier
1699298695
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SPEEDWAY REHAB, PC
Practice address
1925 Norristown Rd
Maple Glen, PA 19002-2921
Phone
(610) 883-7410
NPI assigned
Jul 21, 2017
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Dr. Wynn A Rajan, DPT
Title
President
Phone
(610) 883-7410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1925 Norristown Rd
Maple Glen, PA 19002-2921

Mailing address

1925 Norristown Rd
Maple Glen, PA 19002-2921
Phone (610) 883-7410

National Provider Directory

National Provider Directory

Locations

1925 Norristown Rd
Ste 3
Maple Glen, PA 19002
Phone (215) 948-8727

1925 Norristown Rd
Maple Glen, PA 19002
Phone (215) 643-2880

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1699298695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 NORRISTOWN RD",
            "city": "MAPLE GLEN",
            "state": "PA",
            "postal_code": "190022921",
            "telephone_number": "610-883-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 NORRISTOWN RD",
            "city": "MAPLE GLEN",
            "state": "PA",
            "postal_code": "190022921",
            "telephone_number": "610-883-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEEDWAY REHAB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "RAJAN",
        "authorized_official_first_name": "WYNN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-883-7410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Glen, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.