GW PHYSIO & PERFORMANCE LLC (NPI# 1205437050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205437050 |
| Entity Type | Organization |
| Organization Name | GW PHYSIO & PERFORMANCE LLC |
| Practice Address |
605 County Line Rd Huntingdon Valley PA 19006-1105 |
| Mailing Address |
53 Cottonwood Dr Holland PA 18966-2859 |
| Practice Telephone | 2673880633 |
| Mailing Telephone | 2679948441 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-07 |
| Authorized Official Name | DR. GAVIN WANG (OWNER) |
| Authorized Official Telephone | 2679948441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| GW Physical Therapy | Doing Business As Name - Organization |
| Street Address |
605 COUNTY LINE RD |
| City | HUNTINGDON VALLEY |
| State | PA |
| Zip Code | 19006-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679026413 | Gavin Wang | Physical Therapist | 605 County Line Rd, Huntingdon Valley, PA 19006-1105 | 2016-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349209 | Nicole Poncia Slp LLC | Speech-Language Pathologist | 2011 Williamsburg Rd., Huntingdon Valley, PA 19006 | 2020-06-04 |
| 1497248298 | Heavenly's Home Care LLC | In Home Supportive Care | 67 Buck Rd Ste B53, Huntingdon Valley, PA 19006 | 2018-06-07 |
| 1740721919 | Staton Health LLC | In Home Supportive Care | 111 Buck Rd, Unit 300, Suite 9, Huntingdon Valley, PA 19006 | 2017-03-20 |
| 1407204407 | Jacqueline Russak-loftus | Social Worker | 727 Old Welsh Rd, Huntington Valley, PA 19006 | 2016-05-31 |
| 1720490162 | Pennsylvania Home Care Assistance Agency, Inc | Case Management | 2600 Philmont Ave Ste 405, Huntingdon Valley, PA 19006 | 2014-05-20 |
| 1104255603 | Javad Mohsenian | Psychiatry & Neurology | 320 Moreland Road, Huntingdon Valley, PA 19006 | 2013-11-05 |
| 1013270123 | Donna Marie Salvucci | Psychologist | 521 Moredon Road, Holy Redeemer Counseling Clinic, Huntingdon Valley, PA 19006 | 2012-06-22 |
| 1962712125 | Dentex Dental Mobile, Inc | Dentist | 3035 Franks Rd, Huntingdon Valley, PA 19006 | 2010-10-20 |
| 1316255938 | Superior Ems Ambulance LLC | Ambulance | 85 C Tomlinson Road, Huntingdon Valley, PA 19006 | 2010-09-16 |
| 1194958777 | Leader Ambulance, Inc | Ambulance | 27 Tomlinson Road, Suite 203, Huntingdon Valley, PA 19006 | 2009-08-28 |
| Find all providers in zip 19006 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457859076 | Lk Fitness & Therapy | Clinic/Center | 3876 Shelley Rd, Huntingdon Valley, PA 19006-2343 | 2018-01-29 |
| 1952677148 | Orthopaedic Surgery and Rehabilitation Associates | Clinic/Center | 2301 Huntingdon Pike, Huntingdon Valley, PA 19006-6130 | 2012-04-01 |
| 1770897878 | Bucks Family Therapy Center LLC | Clinic/Center | 73 Buck Rd, Suite 7, Huntingdon Valley, PA 19006-1560 | 2010-07-30 |
| 1215169529 | Allience Home Health Care Agency Corp. | Clinic/Center | 73 Buck Rd, Huntingdon Valley, PA 19006-1560 | 2009-08-20 |
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|---|---|---|---|---|
| 1043827835 | Move More LLC | Clinic/Center | 630 Meadow Ln, Harleysville, PA 19438-1639 | 2020-09-26 |
| 1649898073 | Trinity Rehab Somerset Pa | Clinic/Center | 2826 S Eagle Rd # No1-21, Newtown, PA 18940-1543 | 2020-07-13 |
| 1811510936 | Ally Wellness LLC | Clinic/Center | 7 S 43rd St Apt 1, Philadelphia, PA 19104-3797 | 2020-05-22 |
| 1811516339 | Alyssa Haveson | Clinic/Center | 23 Sentinel Rd, Washington Crossing, PA 18977-1142 | 2020-04-14 |
| 1104455377 | Dizzy Brain and Balance Specialists LLC | Clinic/Center | 484 Maple Point Dr, Langhorne, PA 19047-1473 | 2020-04-08 |
| 1891326427 | Joshua David Finley | Clinic/Center | 918 Truepenny Rd, Media, PA 19063-1634 | 2020-02-02 |
| 1487285003 | Adamson Therapy Services, LLC | Clinic/Center | 35 S West St Ste B, Waynesburg, PA 15370-2029 | 2020-02-02 |
| 1538799796 | Sirona Therapy P.C. | Clinic/Center | 220 W Plum St Ste 335, Edinboro, PA 16412-2167 | 2020-01-16 |
| 1326683095 | Drayer Physical Therapy Institute LLC | Clinic/Center | 702 Creekside Ln, Lititz, PA 17543-6826 | 2019-11-16 |
| 1396380150 | Sfas Physical Therapy LLC | Clinic/Center | 347a Old Curry Hollow Rd, Pittsburgh, PA 15236-4608 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGDON VALLEY |
| Zip Code | 19006 |
Please comment or provide details below to improve the information on GW PHYSIO & PERFORMANCE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.