Individual provider Active NPI

Matthew Pascarella, PT

  • Physical Therapist
  • Kennett Square, PA
National Provider Identifier
1821689225
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028843 Issued in PA
Practice address
400 McFarlan Rd Ste 100
Kennett Square, PA 19348-2477
Phone
(610) 925-4901
Fax
(610) 925-4906
NPI assigned
Jan 28, 2021
Last updated
Jan 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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 PT028843 PA Primary

Addresses

Primary practice location

400 McFarlan Rd Ste 100
Kennett Square, PA 19348-2477

Mailing address

3809 W Chester Pike Ste 150
Newtown Square, PA 19073-0259
Phone (610) 359-5640

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302001926 PA Practitioner - Physical Therapist in Private Practice 0941616734 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc CurrentSince Oct 1, 2022 Accepting new patients
Rehabclinics (SPT), Inc. Physical Therapist Current Accepting new patients
Fean Physical Therapy LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Oct 1, 2022 Accepting new patients

Locations

601 S Oxford Valley Rd
Fairless Hills, PA 19030
Phone (215) 943-3300

604 Commons Dr
Ste D3
Oxford, PA 19363
Phone (610) 932-3619

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": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1821689225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 W CHESTER PIKE STE 150",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190730259",
            "telephone_number": "610-359-5640",
            "fax_number": "610-359-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MCFARLAN RD STE 100",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482477",
            "telephone_number": "610-925-4901",
            "fax_number": "610-925-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCARELLA",
        "first_name": "MATTHEW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.