Individual provider Active NPI

Tracey Tainter, PT, DPT

  • Physical Medicine & Rehabilitation Physician
  • Havertown, PA
National Provider Identifier
1972936573
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT023073 Issued in PA
Practice address
2010 West Chester Pike
Suite 450
Havertown, PA 19083-2744
Phone
(610) 853-0508
Fax
(610) 853-3837
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT023073 PA Primary

Addresses

Primary practice location

2010 West Chester Pike
Suite 450
Havertown, PA 19083-2744

Mailing address

9 Marlin Dr
Malvern, PA 19355-2917
Phone (610) 517-2824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140821000502 PA Practitioner - Physical Therapist in Private Practice 6608094396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Streamline TherapyGroup PAC ID 4981124658, 2 clinicians

Practice addresses (Care Compare)

3605 Winding Way
Newtown Square, PA 19073-4057
Phone (484) 321-6367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT023073PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victor a. Sage, DC P.C. CurrentSince Feb 3, 2025 Accepting new patients
Streamline Therapy CurrentSince Feb 3, 2025 Accepting new patients
Penn Therapy Associates, Inc. CurrentSince Jan 2, 2014 Accepting new patients

Locations

2010 W Chester Pike
Ste 450
Havertown, PA 19083
Phone (610) 853-0508

3605 Winding Way
Newtown Square, PA 19073
Phone (484) 321-6367

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.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1972936573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MARLIN DR",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552917",
            "telephone_number": "610-517-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 WEST CHESTER PIKE",
            "address_2": "SUITE 450",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832744",
            "telephone_number": "610-853-0508",
            "fax_number": "610-853-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAINTER",
        "first_name": "TRACEY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "PT023073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.

Verify at the official NPI Registry.