William Francis Connell IV, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT027339 Issued in PA

Practice address

623 S Chester Rd
Swarthmore, PA 19081-2315

Phone

(610) 543-1201

NPI assigned

Nov 1, 2018

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

Enrolled in PA

Enrollment records 1

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 and National Provider Directory roles.

• Novacare Outpatient Rehabilitation East, Inc.

  • Physical Therapy Clinic/Center
  • Ligonier, PA
  • NPI 1487010583

  Orthopedic, PA

  Medicare reassignment NPD
• Novacare Outpatient Rehabilitation East, Inc.

  • Physical Therapy Clinic/Center
  • Masontown, PA
  • NPI 1932793569
  NPD
• Novacare Outpatient Rehabilitation East Inc

  • Physical Therapy Clinic/Center
  • Ferndale, MI
  • NPI 1245235191
  NPD

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1770050262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SHURS LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191285039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 S CHESTER RD",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190812315",
            "telephone_number": "610-543-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "WILLIAM",
        "middle_name": "FRANCIS",
        "name_suffix": "IV",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT027339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindi Clark
• Janet Mirella Clark, P.T.
• Mari L Clements, M.S., R.D.
• Communities of Don Guanella and Divine Providence
• Community Interactions, Inc.
• Andrew Joseph Coste, D.M.D.
• Stephanie Rolls Cozzi, PH.D.
• Annie Creato, DMD
• Hania Terenia Danko, D.C., C.C.E.P.
• Joanne Davalos, MED

• All providers in Swarthmore, PA
• Orthopedic Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.