Active NPI
Sdi Therapy, LLC
- Physical Therapy Clinic/Center
- Hatboro, PA
National Provider Identifier
1871132126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- SDI THERAPY, LLC
- Practice address
- 319 W County Line Rd Ste 9
Hatboro, PA 19040-1605 - Phone
- (215) 470-1652
- Fax
- (610) 471-0488
- NPI assigned
- Jan 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ilan Immerman, DPT
- Title
- President
- Phone
- (561) 809-1638
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
319 W County Line Rd Ste 9
Hatboro, PA 19040-1605
Mailing address
1610 Iron Horse Rd
Huntingdon Valley, PA 19006-7752
Phone (561) 809-1638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
319 W County Line Rd
Ste 9
Hatboro, PA 19040
Phone (215) 470-1652
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Hatboro, PA
- NPI 1649528506
-
- Physical Therapist
- Quakertown, PA
- NPI 1831797968
-
- Physical Therapist
- Feasterville Trevose, PA
- NPI 1104683648
-
- Physical Therapist
- Philadelphia, PA
- NPI 1649861337
-
- Physical Therapist
- Warminster, PA
- NPI 1609509843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649116800000",
"number": "1871132126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 IRON HORSE RD",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190067752",
"telephone_number": "561-809-1638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 W COUNTY LINE RD STE 9",
"city": "HATBORO",
"state": "PA",
"postal_code": "190401605",
"telephone_number": "215-470-1652",
"fax_number": "610-471-0488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SDI THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-04",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A",
"authorized_official_last_name": "IMMERMAN",
"authorized_official_first_name": "ILAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-809-1638",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hatboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.