Bounce Back Physical Therapy Inc.
Organization Active NPI Physical Therapy Clinic/Center · Wayne, PA
NPI 1972556835 · NPPES record last updated Mar 2, 2008
Key facts
- NPI
- 1972556835
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- BOUNCE BACK PHYSICAL THERAPY INC.
- Practice address
- 215 Sugartown Rd
Wayne, PA 19087-3004 - Phone
- (484) 582-0660
- Fax
- (484) 582-0666
- NPI assigned
- May 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Charan Tony Chadha, MPT
- Title
- Owner
- Phone
- (484) 582-0660
Other NPIs on the same Medicare enrollment 1
Practitioners 7
-
Julia Rose Dethlefs, DPT
-
Charan Tony Chadha, MPT
-
Alison Louise Iacobucci, PT, DPT
-
Rachel Elizabeth Miller, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050713000245 | PA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5799711578 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment Practice locations: Wayne, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
215 Sugartown Rd
Wayne, PA 19087-3004
Mailing address
215 Sugartown Rd
Wayne, PA 19087-3004
Phone (484) 582-0660
Other providers in Wayne, PA
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- Normand S Boucher
- Patricia Marie Bowes
- Catherine J Boyd
- Shantay Boykin
- Wendy W Branton
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All providers in Wayne, PA · Physical Therapy Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.