NPIMap

Organization Active NPI

Bounce Back Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Wayne, PA
National Provider Identifier
1972556835
Registry record updated Mar 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 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
Last updated
Mar 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2008

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

Authorized official

Name
Mr. Charan Tony Chadha, MPTNPI 1053312991
Title
Owner
Phone
(484) 582-0660

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

215 Sugartown Rd
Wayne, PA 19087-3004

Mailing address

215 Sugartown Rd
Wayne, PA 19087-3004
Phone (484) 582-0660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204416000000",
    "number": "1972556835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SUGARTOWN RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873004",
            "telephone_number": "484-582-0660",
            "fax_number": "484-582-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SUGARTOWN RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873004",
            "telephone_number": "484-582-0660",
            "fax_number": "484-582-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNCE BACK PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-03-02",
        "status": "A",
        "authorized_official_last_name": "CHADHA",
        "authorized_official_first_name": "CHARAN",
        "authorized_official_middle_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-582-0660",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2008; 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.