Im Physical Medicine

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

IM PHYSICAL MEDICINE

Practice address

372 W Lancaster Ave
Wayne, PA 19087-3924

Phone

(610) 688-8807

NPI assigned

Aug 4, 2021

Organization subpart

No

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

Authorized official

Name

Rocklan Walker, DO

Title

Owner

Phone

(610) 688-8807

Specialties & licenses 1

Addresses

Practitioners 1

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

• Emily Marie Yurga, RD, LDN

  • Registered Dietitian
  • Wayne, PA
  • NPI 1689922593
  NPD

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1841964731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 W LANCASTER AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873924",
            "telephone_number": "610-688-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 W LANCASTER AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873924",
            "telephone_number": "610-688-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IM PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ROCKLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-688-8807",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseanita Schubert Hurley, SLP-CCC
• Jessica Hurtubise, OT
• Kristyn Valentine Hydock
• Alison Louise Iacobucci, PT, DPT
• Danielle Illfelder, PT, DPT, MSPT
• Imhealth LLC
• Indian Valley Healthcare LLC
• Infinity Retina LLC
• Inner Resilience Psychological Services
• Innovative Senior Care Home Health of Philadelphia LLC

• Physical Therapist in Wayne, PA
• Providers in Wayne, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.