Individual provider Active NPI

Jane M Smith, PT

  • Physical Therapist
  • Bryn Mawr, PA
National Provider Identifier
1982606612
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007389L Issued in PA
Practice address
101 S Bryn Mawr Ave
Suite 202
Bryn Mawr, PA 19010-3120
Phone
(610) 527-3300
Fax
(610) 525-5508
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT007389L PA Primary

Addresses

Primary practice location

101 S Bryn Mawr Ave
Suite 202
Bryn Mawr, PA 19010-3120

Mailing address

101 S Bryn Mawr Ave
Suite 202
Bryn Mawr, PA 19010-3120
Phone (610) 527-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310000834 PA Practitioner - Physical Therapist in Private Practice 6608820741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Founders Physical Therapy LLCGroup PAC ID 9638104342, 2 clinicians

Practice addresses (Care Compare)

101 S Bryn Mawr Ave
Suite 202
Bryn Mawr, PA 19010-3123
Phone (610) 527-3300

372 W Lancaster Ave
Wayne, PA 19087-3924
Phone (610) 688-8807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT007389LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Founders Physical Therapy LLC Physical Therapist CurrentSince Jun 1, 2005 Accepting new patients
Performance Physical Therapy & Fitness, Inc. Physical Therapist Past Accepting new patients
Bryn Mawr Sports Medicine and Rehabilitation Physical Therapist PastSince Feb 26, 1991 Accepting new patients

Locations

101 S Bryn Mawr Ave
Ste 202
Bryn Mawr, PA 19010
Phone (610) 527-3300

101 S Bryn Mawr Ave
Ste 200
Bryn Mawr, PA 19010
Phone (610) 527-3300

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1982606612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S BRYN MAWR AVE",
            "address_2": "SUITE 202",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103120",
            "telephone_number": "610-527-3300",
            "fax_number": "610-525-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S BRYN MAWR AVE",
            "address_2": "SUITE 202",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103120",
            "telephone_number": "610-527-3300",
            "fax_number": "610-525-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JANE",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT007389L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.