Elizabeth Ann Thayne, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT025306 Issued in PA

Practice address

30 Liberty Blvd Ste 140
Malvern, PA 19355-1418

Phone

(484) 321-8660

Fax

(484) 321-8657

NPI assigned

Sep 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Elizabeth Ann Blatteau Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Novacare Outpatient Rehabilitation East, Inc.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Ligonier, PA
  • NPI 1487010583

  Physical Therapist

  Medicare reassignment NPD
• Reconstructive Orthopaedic Associates II LLC

  dba Rothman Orthopaedics Institute

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
  • NPI 1861433278
  Medicare reassignment NPD
• Novacare Outpatient Rehabilitation East, Inc.

  dba NovaCare Rehabilitation

  • Rehabilitation Clinic/Center
  • Malvern, PA
  • NPI 1588218044
  NPD
• Reconstructive Orthopaedic Associates II LLC

  dba Rothman Orthopaedics Institute

  • Prosthetic/Orthotic Supplier
  • Philadelphia, PA
  • NPI 1497571830

  Physical Therapist

  NPD
• Novacare Outpatient Rehabilitation East Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Ferndale, MI
  • NPI 1245235191
  NPD

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

{
    "created_epoch": "1474156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1942758065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 S CHESTER RD",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190812315",
            "telephone_number": "610-543-1201",
            "fax_number": "610-328-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LIBERTY BLVD STE 140",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551418",
            "telephone_number": "484-321-8660",
            "fax_number": "484-321-8657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "623 S Chester Rd",
            "address_purpose": "LOCATION",
            "city": "Swarthmore",
            "state": "PA",
            "postal_code": "190812315",
            "country_code": "US",
            "telephone_number": "610-543-1201",
            "fax_number": "610-328-5205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAYNE",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-18",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BLATTEAU",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Anne Tavangar
• Jennifer Taylor, PSY.D.
• Maura Tehrani Henderson, DPT
• Justin Teich, O.D.
• Pushpa T. Thakarar, M.D.
• The Devereux Foundation
• The Devereux Foundation
• The Devereux Foundation
• The Devereux Foundation
• The Devereux Foundation (Community Services of Devereux)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.

Verify at the official NPI Registry.