Individual provider Active NPI

Nicholas Tyler Racich, DPT

  • Physical Therapist
  • Havertown, PA
National Provider Identifier
1841545951
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT022208 Issued in PA
Practice address
11 E Mercer Ave
Apartment 1a
Havertown, PA 19083-4743
Phone
(215) 870-5166
NPI assigned
Jul 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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 PT022208 PA Primary

Addresses

Primary practice location

11 E Mercer Ave
Apartment 1a
Havertown, PA 19083-4743

Mailing address

11 E Mercer Ave
Apartment 1a
Havertown, PA 19083-4743
Phone (215) 870-5166

Other practice location 1

203 Crump Rd
Exton, PA 19341-1516
Phone (610) 241-2685

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130122000462 PA Practitioner - Physical Therapist in Private Practice 8325291529 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks Physical & Sports Rehabilitation LLC Physical Therapist CurrentSince Aug 18, 2025 Accepting new patients
Full Range Health Services, LLC Physical Therapist CurrentSince Jul 28, 2025 Accepting new patients
Penn Therapy Associates, Inc. Physical Therapist CurrentSince Mar 15, 2022 Accepting new patients
Bucks Physical & Sports Rehabilitation Physical Therapist PastSince Aug 18, 2025 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

2010 W Chester Pike
Ste 450
Havertown, PA 19083
Phone (610) 853-0508

100 Almshouse Rd
Richboro, PA 18954
Phone (215) 357-2000

327 York Rd
Warminster, PA 18974
Phone (215) 672-7373

307 W Boot Rd
West Chester, PA 19380
Phone (610) 241-2685

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1841545951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E MERCER AVE",
            "address_2": "APARTMENT 1A",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834743",
            "telephone_number": "215-870-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E MERCER AVE",
            "address_2": "APARTMENT 1A",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834743",
            "telephone_number": "215-870-5166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Crump Rd",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193411516",
            "country_code": "US",
            "telephone_number": "610-241-2685",
            "fax_number": "877-732-7311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACICH",
        "first_name": "NICHOLAS",
        "middle_name": "TYLER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.