Individual provider Active NPI

Philip Jerome Koehler III, DO

  • Physical Medicine & Rehabilitation Physician
  • Bryn Mawr, PA
National Provider Identifier
1790216000
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS019667 Issued in PA
Practice address
825 Old Lancaster Rd Ste 100&200
Bryn Mawr, PA 19010-3231
Phone
(800) 321-9999
Fax
(267) 479-1321
NPI assigned
Mar 27, 2017
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS019667 PA Primary

Addresses

Primary practice location

825 Old Lancaster Rd Ste 100&200
Bryn Mawr, PA 19010-3231

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (609) 677-7003

Other practice location 1

1118 W Baltimore Pike
Media, PA 19063-6104
Phone (800) 321-9999

Other practice location 2

650 Carnegie Blvd Fl 2
Malvern, PA 19355-8519
Phone (800) 321-9999

Other practice location 3

600 Evergreen Dr Ste 201
Glen Mills, PA 19342-1053
Phone (800) 321-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210525002554 PA Practitioner - Physical Medicine and Rehabilitation 0749559821 Reassigns benefits to 1 organization
I20210525002650 NJ Practitioner - Physical Medicine and Rehabilitation 0749559821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Philadelphia College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

925 Chestnut St
FL 5
Philadelphia, PA 19107-4206
Phone (267) 339-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
79.04
Promoting interoperability
99
Improvement activities
40
Cost
82.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS019667PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Orthopaedics of New Jersey, LLC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2021 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Jul 1, 2021 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Jul 1, 2021 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2021 Accepting new patients

Locations

999 Route 73 N
Ste 401
Marlton, NJ 08053
Phone (609) 617-3546

825 Old Lancaster Rd
Ste 100200
Bryn Mawr, PA 19010

600 Evergreen Dr
Ste 201
Glen Mills, PA 19342
Phone (484) 818-2225

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1790216000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "609-677-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 OLD LANCASTER RD STE 100&200",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103231",
            "telephone_number": "800-321-9999",
            "fax_number": "267-479-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1118 W Baltimore Pike",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190636104",
            "country_code": "US",
            "telephone_number": "800-321-9999",
            "fax_number": "267-479-1321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Carnegie Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "PA",
            "postal_code": "193558519",
            "country_code": "US",
            "telephone_number": "800-321-9999",
            "fax_number": "267-479-1321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Evergreen Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "193421053",
            "country_code": "US",
            "telephone_number": "800-321-9999",
            "fax_number": "267-479-1321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "PHILIP",
        "middle_name": "JEROME",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS019667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.