Individual provider Active NPI

Robert Fitzgerald

  • Physical Therapist
  • Kennett Square, PA
National Provider Identifier
1861942716
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 005770-L Issued in PA
Practice address
689 Unionville Rd
Kennett Square, PA 19348-1787
Phone
(610) 444-9010
NPI assigned
Oct 4, 2016
Last updated
Feb 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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 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

LicenseStateTypeSpecialty
PT 005770-LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.