Individual provider Active NPI

Shawn Lee Vogel, MPT

  • Physical Therapist
  • Wyndmoor, PA
National Provider Identifier
1881648731
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
DAPT001010 Issued in PA
Practice address
8200 Flourtown Ave
Wyndmoor, PA 19038-7976
Phone
(215) 233-5572
Fax
(215) 233-5584
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DAPT001010 PA Primary

Addresses

Primary practice location

8200 Flourtown Ave
Wyndmoor, PA 19038-7976

Mailing address

721 McKean Rd
Ambler, PA 19002-1802
Phone (215) 643-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110802000324 PA Practitioner - Physical Therapist in Private Practice 7618146093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Physical Therapy, Inc.Group PAC ID 8325217789, 3 clinicians

Practice addresses (Care Compare)

8200 Flourtown Ave
Suite 11
Wyndmoor, PA 19038-7970
Phone (215) 233-5572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DAPT001010PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physical Therapy, Inc. Physical Therapist CurrentSince Apr 1, 2011 Accepting new patients

Locations

8200 Flourtown Ave
Wyndmoor, PA 19038
Phone (215) 233-1555

8200 Flourtown Ave
Ste 11
Wyndmoor, PA 19038
Phone (215) 233-5572

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881648731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 MCKEAN RD",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190021802",
            "telephone_number": "215-643-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVE",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387976",
            "telephone_number": "215-233-5572",
            "fax_number": "215-233-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "SHAWN",
        "middle_name": "LEE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT001010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyndmoor, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.