NPIMap

Organization Active NPI

Master Care Rehabilitation, PC

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1972687135
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MASTER CARE REHABILITATION, PC
Practice address
9808 Bustleton Ave
Philadelphia, PA 19115-2190
Phone
(215) 677-3700
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Renata Eugenia GarderewiczNPI 1558310730
Title
Physical Therapist
Phone
(215) 917-6557

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 NU Primary

Addresses

Primary practice location

9808 Bustleton Ave
Philadelphia, PA 19115-2190

Mailing address

PO Box 14587
Philadelphia, PA 19115-0587
Phone (215) 677-3700

National Provider Directory

National Provider Directory

Locations

9808 Bustleton Ave
Ste M
Philadelphia, PA 19115
Phone (215) 677-3700

Practitioners & affiliated clinicians

Practitioners 10

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972687135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14587",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191150587",
            "telephone_number": "215-677-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152190",
            "telephone_number": "215-677-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTER CARE REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDEREWICZ",
        "authorized_official_first_name": "RENATA",
        "authorized_official_middle_name": "EUGENIA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "215-917-6557"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.