Active NPI
Robert Wellmon, PT, PHD
- Neurology Physical Therapist
- Glenolden, PA
National Provider Identifier
1962628032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- PT006728L
- Practice address
- 225 W South Ave
Glenolden, PA 19036-2422 - Phone
- (610) 583-3320
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT006728L | PA | |
| Geriatric Physical Therapist | 2251G0304X | PT00628L | PA | |
| Neurology Physical Therapist | 2251N0400X | PT006728L | PA | Primary |
Addresses
Primary practice location
225 W South Ave
Glenolden, PA 19036-2422
Mailing address
225 W South Ave
Glenolden, PA 19036-2422
Phone (610) 583-3320
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006728L | PA | MD | Physical Therapist |
| PT00628L | PA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1962628032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 W SOUTH AVE",
"city": "GLENOLDEN",
"state": "PA",
"postal_code": "190362422",
"telephone_number": "610-583-3320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 W SOUTH AVE",
"city": "GLENOLDEN",
"state": "PA",
"postal_code": "190362422",
"telephone_number": "610-583-3320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLMON",
"first_name": "ROBERT",
"credential": "PT, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT006728L",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "PA",
"license": "PT00628L",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "PA",
"license": "PT006728L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenolden, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.