Active NPI
Michael Katkocin
- Physical Therapist
- Springfield, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 779 W Sproul Rd
Springfield, PA 19064-1215 - Phone
- (484) 470-2150
- NPI assigned
- Mar 25, 2022
- Last updated
- Mar 25, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progress Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Orthopedic and Sports Physical Therapy Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Philadelphia, PA
- NPI 1164851085
-
dba Excel Physical Therapy
- Physical Therapist
- Philadelphia, PA
- NPI 1588661235
-
dba ATI Physical Therapy
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
PA, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
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.