Active NPI
Robert Fitzgerald
- Physical Therapist
- Kennett Square, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 005770-L
- Practice address
- 689 Unionville Rd
Kennett Square, PA 19348-1787 - Phone
- (610) 444-9010
- NPI assigned
- Oct 4, 2016
- Last updated
- Feb 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 005770-L | PA | Primary |
Addresses
Primary practice location
689 Unionville Rd
Kennett Square, PA 19348-1787
Mailing address
529 S High St
West Chester, PA 19382-3603
Phone (610) 613-4304
Other practice location 1
3135 Biggs Hwy Ste 6
North East, MD 21901-1840
Phone (410) 287-5074
Other practice location 2
210B S Bridge St
Elkton, MD 21921-5915
Phone (443) 485-5655
Other practice location 3
604 Commons Dr
Oxford, PA 19363-1223
Phone (610) 932-3619
Other practice location 4
1 Commerce Blvd Ste 103
West Grove, PA 19390-9198
Phone (610) 345-0759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 005770-L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TPS IV of PA., LLC | Past | Accepting new patients | |
| Rehabclinics (SPT), Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- North East, MD
- NPI 1669858049
-
dba University Orthopaedic Institute
- Durable Medical Equipment & Medical Supplies
- Marlton, NJ
- NPI 1053630368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1861942716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 S HIGH ST",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193823603",
"telephone_number": "610-613-4304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "689 UNIONVILLE RD",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193481787",
"telephone_number": "610-444-9010"
}
],
"practiceLocations": [
{
"address_1": "3135 Biggs Hwy Ste 6",
"address_purpose": "LOCATION",
"city": "North East",
"state": "MD",
"postal_code": "219011840",
"country_code": "US",
"telephone_number": "410-287-5074",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210B S Bridge St",
"address_purpose": "LOCATION",
"city": "Elkton",
"state": "MD",
"postal_code": "219215915",
"country_code": "US",
"telephone_number": "443-485-5655",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "604 Commons Dr",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "PA",
"postal_code": "193631223",
"country_code": "US",
"telephone_number": "610-932-3619",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Commerce Blvd Ste 103",
"address_purpose": "LOCATION",
"city": "West Grove",
"state": "PA",
"postal_code": "193909198",
"country_code": "US",
"telephone_number": "610-345-0759",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FITZGERALD",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-04",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT 005770-L",
"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 Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.