Individual provider Active NPI

Jared Bonacquisti, PT, DPT

  • Physical Therapist
  • Chester Springs, PA
National Provider Identifier
1740772326
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT027097 Issued in PA
Practice address
163 Pottstown Pike
Chester Springs, PA 19425-9518
Phone
(610) 458-6464
Fax
(610) 458-6465
NPI assigned
May 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X DAPT004755 PA
Physical Therapist 225100000X TPT022012 PA
Physical Therapist 225100000X PT027097 PA Primary

Addresses

Primary practice location

163 Pottstown Pike
Chester Springs, PA 19425-9518

Mailing address

163 Pottstown Pike
Chester Springs, PA 19425-9518
Phone (610) 458-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180905000679 PA Practitioner - Physical Therapist in Private Practice 7113277658 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DAPT004755PAMDPhysical Therapist
PT027097PAMDPhysical Therapist
TPT022012PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Physical Therapy, LLC Physical Therapist CurrentSince Aug 2, 2018 Accepting new patients
Ignite Physical Therapy LLC Physical Therapist Current Accepting new patients

Locations

163 Pottstown Pike
Chester Springs, PA 19425
Phone (610) 458-6464

Organizations & group practices 2

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": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1740772326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 POTTSTOWN PIKE",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259518",
            "telephone_number": "610-458-6464",
            "fax_number": "610-458-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 POTTSTOWN PIKE",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259518",
            "telephone_number": "610-458-6464",
            "fax_number": "610-458-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONACQUISTI",
        "first_name": "JARED",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT004755",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "TPT022012",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester Springs, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.