Physical Therapy and Wellness Institute LLC

Organization Active NPI Physical Therapist · Lansdale, PA

NPI 1740208339 · NPPES record last updated Aug 12, 2022

Key facts

NPI
1740208339
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
License
DAPT000285 (PA)
Legal business name
PHYSICAL THERAPY AND WELLNESS INSTITUTE LLC
Practice address
730 S Broad St
Lansdale, PA 19446-5211
Phone
(215) 855-9871
Fax
(215) 855-8748
NPI assigned
Jul 18, 2006
Organization subpart
No

Authorized official

Name
Michael Rucker
Title
Ceo
Phone
(914) 777-8700

Practitioners 248

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 248

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050421001158 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1557309358 Receives reassigned benefits from 179 practitioners
Practice locations: Perkasie, PA; Warminster, PA; Souderton, PA; Royersford, PA; Quakertown, PA; North Wales, PA; Norristown, PA; Newtown Square, PA…

National Provider Directory

Locations

120 E Lancaster Ave
Ste 205
Ardmore, PA 19003
Phone (484) 297-6491

110 Ardmore Ave
Ste A
Ardmore, PA 19003
Phone (484) 498-8299

500 Chesterbrook Blvd
Ste 10
Chesterbrook, PA 19087
Phone (484) 229-4400

1850 Collegeville Rd
Collegeville, PA 19426
Phone (610) 454-0780

100 Wallace Ave
Downingtown, PA 19335
Phone (484) 224-5600

2285 Cross Rd
Ste 3
Glenside, PA 19038
Phone (215) 887-2001

1540 Cowpath Rd
Ste 100
Hatfield, PA 19440
Phone (215) 855-3359

2395 York Rd
Ste 7
Jamison, PA 18929
Phone (215) 987-3677

1083 W Baltimore Pike
Ste E
Media, PA 19063
Phone (484) 214-4080

800 Upper State Rd
North Wales, PA 19454
Phone (215) 855-1160

1131 N 5th St
Perkasie, PA 18944
Phone (215) 396-5655

1837 E Ridge Pike
Ste 30
Royersford, PA 19468
Phone (610) 409-5655

1167 Wilmington Pike
West Chester, PA 19382
Phone (484) 567-4343

2456 W Main St
West Norriton, PA 19403
Phone (610) 630-0101

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
225100000X DAPT000285 PA Yes
Occupational Therapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
225X00000X
Speech-Language Pathologist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
235Z00000X

Addresses

Primary practice location

730 S Broad St
Lansdale, PA 19446-5211

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050

Other identifiers

IdentifierTypeStateIssuer
2078464000OtherPAIBC KEYSTONE HMO
001384752OtherPAHIGHMARK BLUE SHIELD
7798359OtherPAAETNA PPO

Other providers in Lansdale, PA

All providers in Lansdale, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.