Active NPI
Richard Battaglini, PT
- Physical Therapist
- Media, PA
National Provider Identifier
1780631077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013499L
- Practice address
- 60 State Rd
Suite C
Media, PA 19063-1452 - Phone
- (610) 892-7344
- Fax
- (610) 565-0500
- NPI assigned
- May 30, 2006
- Last updated
- Oct 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0001501 | DE | |
| Physical Therapist | 225100000X | 25733 | MD | |
| Physical Therapist | 225100000X | PT013499L | PA | Primary |
Addresses
Primary practice location
60 State Rd
Suite C
Media, PA 19063-1452
Mailing address
1265 Wayne Ave Ste 308
119 Professinal Building
Indiana, PA 15701-3501
Phone (724) 801-8095
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0962113000 | Other | PA | IBC |
| 001874791 | Medicaid | PA | |
| 2844946000 | Other | DE | IBC |
| 50108718 | Other | PA | CAPITAL BC |
| AC44-0023 | Other | DE | CAREFIRST |
| 058152VLZ | Other | PA | MEDICARE |
| 1300966 | Other | HIGHMARK PABS | |
| 1780631077 | Other | PA | BRAVO |
| 1780631077 | Medicaid | DE | |
| P00713330 | Other | DE | RAILROAD MEDICARE |
| 3211151 | Medicaid | MD | |
| P00713327 | Other | PA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25733 | MD | MD | Clinical Social Worker |
| J1-0001501 | DE | MD | Physical Therapist |
| PT013499L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Therapy Services of Pennsylvania LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Dynamic Physical Therapy
- Physical Therapist
- Aston, PA
- NPI 1346477981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1780631077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 WAYNE AVE STE 308",
"address_2": "119 PROFESSINAL BUILDING",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013501",
"telephone_number": "724-801-8095",
"fax_number": "724-801-8147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 STATE RD",
"address_2": "SUITE C",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631452",
"telephone_number": "610-892-7344",
"fax_number": "610-565-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATTAGLINI",
"first_name": "RICHARD",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0001501",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25733",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT013499L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "0962113000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001874791",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "2844946000",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BC",
"identifier": "50108718",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "AC44-0023",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "058152VLZ",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PABS",
"identifier": "1300966",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRAVO",
"identifier": "1780631077",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780631077",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00713330",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3211151",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00713327",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.