NPIMap

Organization Active NPI

Heal at Home PT & Wellness LLC

  • Physical Therapist
  • Lafayette Hill, PA
National Provider Identifier
1821737149
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEAL AT HOME PT & WELLNESS LLC
Practice address
9237 Eagleview Dr
Lafayette Hill, PA 19444-1739
Phone
(484) 988-0781
NPI assigned
Jun 3, 2022
Last updated
Jun 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Kyle Bojda, DPTNPI 1972144251
Title
Ceo/Owner
Phone
(484) 988-0781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

9237 Eagleview Dr
Lafayette Hill, PA 19444-1739

Mailing address

9237 Eagleview Dr
Lafayette Hill, PA 19444-1739
Phone (484) 988-0781

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220621003048 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577942515 Receives reassigned benefits from 11 practitioners
Practice locations: Lafayette Hill, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1821737149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9237 EAGLEVIEW DR",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441739",
            "telephone_number": "484-988-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9237 EAGLEVIEW DR",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441739",
            "telephone_number": "484-988-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL AT HOME PT & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "BOJDA",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "484-988-0781",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.