NPIMap

Organization Active NPI

Fean Physical Therapy LLC

  • Physical Therapist
  • Garnet Valley, PA
National Provider Identifier
1841573052
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015008 Issued in PA
Legal business name
FEAN PHYSICAL THERAPY LLC
Practice address
3629 Marian Dr
Garnet Valley, PA 19060-1617
Phone
(215) 805-9011
Fax
(206) 600-6329
NPI assigned
Sep 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Bryan Fean, MPTNPI 1407813819
Title
Owner/Physical Therapist
Phone
(215) 805-9011

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT015008 PA Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X J1-0001500 DE

Addresses

Primary practice location

3629 Marian Dr
Garnet Valley, PA 19060-1617

Mailing address

3629 Marian Dr
Garnet Valley, PA 19060-1617
Phone (215) 805-9011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130211000078 DE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820242316 Receives reassigned benefits from 3 practitioners
Practice locations: Garnet Valley, PA
O20130618000289 PA Part B Supplier - Clinic/Group Practice 8820242316 Receives reassigned benefits from 6 practitioners
Practice locations: Garnet Valley, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1841573052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 MARIAN DR",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190601617",
            "telephone_number": "215-805-9011",
            "fax_number": "206-600-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 MARIAN DR",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190601617",
            "telephone_number": "215-805-9011",
            "fax_number": "206-600-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEAN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "FEAN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "215-805-9011",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015008",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0001500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garnet Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.