Individual provider Active NPI

Michael Katkocin

  • Physical Therapist
  • Springfield, PA
National Provider Identifier
1801546536
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
779 W Sproul Rd
Springfield, PA 19064-1215
Phone
(484) 470-2150
NPI assigned
Mar 25, 2022
Last updated
Mar 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

779 W Sproul Rd
Springfield, PA 19064-1215

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220407000849 PA Practitioner - Physical Therapist in Private Practice 1557757135 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

1915 Guernsey Ave
Abington, PA 19001-3701
Phone (215) 659-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Mar 20, 2023 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Mar 15, 2023 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1915 Guernsey Ave
Abington, PA 19001
Phone (215) 659-8600

601 Righters Ferry Rd
Bala Cynwyd, PA 19004
Phone (610) 664-6464

3636 Street Rd
Ste 110
Bensalem, PA 19020
Phone (215) 639-2639

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

1555 E Wadsworth Ave
Unit 1
Philadelphia, PA 19150
Phone (267) 323-2778

1930 S Broad St
Ste J
Philadelphia, PA 19145
Phone (267) 507-7572

3300 Grant Ave
Ste 19C
Philadelphia, PA 19114
Phone (215) 754-8743

3400 Aramingo Ave
Ste 11
Philadelphia, PA 19134
Phone (215) 203-1930

6511 Ridge Ave
Philadelphia, PA 19128
Phone (267) 385-7247

841 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 437-7210

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

118 Townsedge Dr
Quarryville, PA 17566
Phone (717) 806-5126

555 E Lancaster Ave
Radnor, PA 19087
Phone (267) 507-7572

779 W Sproul Rd
Springfield, PA 19064
Phone (484) 470-2150

1040 Millcreek Dr
Trevose, PA 19053
Phone (215) 357-2363

7720 W Chester Pike
Ste 2
Upper Darby, PA 19082
Phone (610) 924-6100

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.

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1801546536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 W SPROUL RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641215",
            "telephone_number": "484-470-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATKOCIN",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.