Patrick Thomas Fitzsimmons, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT026229 Issued in PA

Practice address

150 Monument Rd Ste 105
Bala Cynwyd, PA 19004-1725

Phone

(484) 268-1350

NPI assigned

Oct 12, 2017

Last updated

Sep 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• JMB Therapy Services LLC

  dba Dynamic Home Therapy

  • Physical Therapist
  • Berwyn, PA
  • NPI 1396028460
  NPD

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1740791102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD STE 105",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD STE 105",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041725",
            "telephone_number": "484-268-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZSIMMONS",
        "first_name": "PATRICK",
        "middle_name": "THOMAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenton David Finklea, M.D.
• David H Fischer, MD
• Lana Prince Fishkin, MD
• Ralph Elliott Fishkin, D,O,
• Barbara Fishman
• Michael Flynn
• Focus on You 4 Homecare LLC
• Sari N Fogel, MD
• Arthur Fogelson, RD
• Food4Forlife

• Physical Therapist in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.