Individual provider Active NPI

David James Verzella, P.T.

  • Physical Therapist
  • Havertown, PA
National Provider Identifier
1982960779
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021396 Issued in PA
Practice address
1120 W Township Line Rd Ste 110
Havertown, PA 19083-4930
Phone
(267) 281-5253
Fax
(267) 281-5253
NPI assigned
Apr 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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 PT021396 PA Primary

Addresses

Primary practice location

1120 W Township Line Rd Ste 110
Havertown, PA 19083-4930

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120621000555 PA Practitioner - Physical Therapist in Private Practice 1153585245 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Orthopaedic and Sports Medicine Associates, LTDGroup PAC ID 5890681092, 218 clinicians

Practice addresses (Care Compare)

200 E State St
Suite 108
Media, PA 19063-3434
Phone (610) 876-0347

2004 Sproul Rd
FL 1
Broomall, PA 19008-3511
Phone (610) 353-0800

300 Evergreen Dr
Glen Mills, PA 19342-1059

5201 Pennell Rd
Media, PA 19063-6502

931 E Haverford Rd
Bryn Mawr, PA 19010-3838

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates, LTD Physical Therapist CurrentSince Feb 1, 2012 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates LTD Physical Therapist CurrentSince Feb 1, 2012 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Orthopedic Sports & Arthritis Surgery Past Accepting new patients

Locations

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

1120 W Township Line Rd
Ste 110
Havertown, PA 19083
Phone (267) 281-5253

575 Horsham Rd
Unit B16
Horsham, PA 19044
Phone (215) 364-5893

930 Town Center Dr
Ste G10
Langhorne, PA 19047
Phone (215) 750-3332

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

200 E State St
Ste 108
Media, PA 19063
Phone (484) 444-0820

5201 Pennell Rd
Ste B
Media, PA 19063
Phone (484) 440-9349

120 Pheasant Run
Newtown, PA 18940
Phone (215) 944-6031

157 Railroad Dr
Warminster, PA 18974
Phone (215) 987-3677

Interoperability endpoints

  • Direct secure messaging: david.verzella.1@22724.direct.athenahealth.com

Organizations & group practices 6

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": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1982960779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W TOWNSHIP LINE RD STE 110",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834930",
            "telephone_number": "267-281-5253",
            "fax_number": "267-281-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERZELLA",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021396",
            "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 Apr 20, 2023; 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.