Active NPI
Jeffrey John Chiappa, P.T.
- Physical Therapist
- Malvern, PA
National Provider Identifier
1972563674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011753L
- Practice address
- 365 Lancaster Ave
Suite 4
Malvern, PA 19355-1867 - Phone
- (610) 644-3233
- Fax
- (610) 644-3353
- NPI assigned
- Mar 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 011753L | PA | Primary |
Addresses
Primary practice location
365 Lancaster Ave
Suite 4
Malvern, PA 19355-1867
Mailing address
365 Lancaster Ave
Suite 4
Malvern, PA 19355-1867
Phone (610) 644-3233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
365 Lancaster Ave
Suite 4
Malvern, PA 19355-1867
Phone (610) 644-3233
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011753L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Sports & Orthopedic Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Orthopedic Sports & Arthritis Surgery | Past | Accepting new patients | |
| Advanced Spine and Sports Therapy Center LLC | Physical Therapist | Past | Accepting new patients |
Locations
365 Lancaster Ave
Ste 4
Malvern, PA 19355
Phone (610) 644-3233
Organizations & group practices 3
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.
-
- Physical Therapist
- Malvern, PA
- NPI 1114365756
-
- Physical Therapist
- Malvern, PA
- NPI 1033484621
-
- Orthopaedic Surgery Physician
- Paoli, PA
- NPI 1316917594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1972563674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 LANCASTER AVE",
"address_2": "SUITE 4",
"city": "MALVERN",
"state": "PA",
"postal_code": "193551867",
"telephone_number": "610-644-3233",
"fax_number": "610-644-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 LANCASTER AVE",
"address_2": "SUITE 4",
"city": "MALVERN",
"state": "PA",
"postal_code": "193551867",
"telephone_number": "610-644-3233",
"fax_number": "610-644-3353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIAPPA",
"first_name": "JEFFREY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-25",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "011753L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malvern, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.