Vadim Brodsky

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015515 Issued in PA

Practice address

8118 Old York Road, Ul Suite E
Elkins Park, PA 19027-1423

Phone

(215) 635-5575

Fax

(215) 635-5456

NPI assigned

Nov 9, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Personal Touch Rehab and Fitness

  dba American/Dutch Physical Therapy

  • Neurology Physical Therapist
  • Southampton, PA
  • NPI 1003095324
  Medicare reassignment NPD
• Master Care Rehabilitation, PC

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
  • NPI 1972687135

  Physical Therapist

  NPD (past)
• Rehab and Fitness Consulting, Inc.

  • Physical Therapist
  • Maple Shade, NJ
  • NPI 1992724918
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720158330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3538 ORIOLE DR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063412",
            "telephone_number": "215-635-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 OLD YORK ROAD, UL SUITE E",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271423",
            "telephone_number": "215-635-5575",
            "fax_number": "215-635-5456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Roy Ln",
            "address_purpose": "LOCATION",
            "city": "Huntingdon Valley",
            "state": "PA",
            "postal_code": "190063112",
            "country_code": "US",
            "telephone_number": "215-635-5575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODSKY",
        "first_name": "VADIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "PT16987",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "PA",
            "license": "PT015515",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "PA",
            "license": "PT015515",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Bosche, CRNP
• Martin A. Boxman, CRNA
• Sophia Anne Breslin, DMD
• Bridging Home Care Inc
• Carol Brockmon, MSW
• Kathleen Brogan
• Beth Lisa Brooks, O.D.
• Leanndra Brooks
• Anyae Broomer
• Avrom Stewart Brown, D.O.

• Physical Therapist in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.