Individual provider Active NPI

Acacia Urian, PT, DPT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1821643651
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028053 Issued in PA
Practice address
2515 S Colorado St
Philadelphia, PA 19145-4523
Phone
(570) 493-5224
NPI assigned
Aug 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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 PT028053 PA Primary

Addresses

Primary practice location

2515 S Colorado St
Philadelphia, PA 19145-4523

Mailing address

2515 S Colorado St
Philadelphia, PA 19145-4523
Phone (570) 493-5224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200701002106 PA Practitioner - Physical Therapist in Private Practice 8426471814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Physical Therapy and Wellness, LLCGroup PAC ID 1951439694, 12 clinicians

Practice addresses (Care Compare)

864 County Line Rd
Bryn Mawr, PA 19010-2516
Phone (610) 581-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
One Physical Therapy and Wellness, LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Age Well Physical Therapy Physical Therapist CurrentSince Mar 31, 2020 Accepting new patients

Locations

864 County Line Rd
Bryn Mawr, PA 19010
Phone (610) 581-0111

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1821643651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 S COLORADO ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454523",
            "telephone_number": "570-493-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 S COLORADO ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454523",
            "telephone_number": "570-493-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URIAN",
        "first_name": "ACACIA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.