WALLACE & NILAN PHYSICAL THERAPY AND FITNESS, LLC (NPI# 1417916016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417916016 |
| Entity Type | Organization |
| Organization Name | WALLACE & NILAN PHYSICAL THERAPY AND FITNESS, LLC |
| Practice Address |
1600 Bethlehem Pike Flourtown PA 19031-2026 |
| Practice Telephone | 2152339677 |
| Practice Fax Number | 2152339498 |
| Mailing Telephone | 2152339677 |
| Mailing Fax Number | 2152339498 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2011-06-15 |
| Authorized Official Name | MR. ROSS NILAN (OWNER) |
| Authorized Official Telephone | 2152339677 |
| Authorized Official Credential | PT |
| 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 |
| Street Address |
1600 BETHLEHEM PIKE |
| City | FLOURTOWN |
| State | PA |
| Zip Code | 19031-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394805 | Katie Johnson | Physical Therapist | 1600 Bethlehem Pike, Flourtown, PA 19031-2026 | 2020-10-21 |
| 1720508757 | Edward John Sabara | Physical Therapist | 1600 Bethlehem Pike, Flourtown, PA 19031-2026 | 2017-06-21 |
| 1578093415 | Marycatherine Givnish | Physical Therapist | 1600 Bethlehem Pike, Flourtown, PA 19031-2026 | 2017-06-13 |
| 1366796500 | Brittany L D'amico | Physical Therapist | 1600 Bethlehem Pike, Flourtown, PA 19031-2026 | 2012-11-08 |
| 1982834164 | Sean Powers | Physical Therapist | 1600 Bethlehem Pike, Flourtown, PA 19031-2026 | 2009-07-22 |
| 1588749683 | Ross Nilan | Physical Therapist | 1600 Bethlehem Pike, Flourtown, PA 19031-2026 | 2006-10-26 |
| 1104926336 | Jane Fagan | Physical Therapist | 1600 Bethlehem Pike, Flourtown, PA 19031-2026 | 2006-09-25 |
| 1437114139 | Drew A Wallace | Physical Therapist | 1600 Bethlehem Pike, Flourtown, PA 19031-2026 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043721616 | Audrey Diane Scanlon | Nurse Practitioner | 1811 Bethlehem Pike Ste A108, Flourtown, PA 19031 | 2017-10-23 |
| 1104342161 | David Azizyan | Dentist | 1605 Mulberry Rd, Flourtown, PA 19031 | 2017-08-21 |
| 1922535764 | Public Health Management Corporation | Clinic/Center | 71 West Wissachickon Ave., Flourtown, PA 19031 | 2017-05-11 |
| 1184077570 | Susan M Nagy | Social Worker | 18 Springfield Avenue, Flourtown, PA 19031 | 2016-07-20 |
| 1114292828 | Andrea Ingerson | Specialist/Technologist | 1206 Larchwood Road, Flourtown, PA 19031 | 2012-03-13 |
| 1942421235 | Flourtown Pediatric Dentistry Ltd | Dentist | 10 East Mill Road, Flourtown, PA 19031 | 2007-05-02 |
| 1487775110 | Jacqueline Kugler | Audiologist-Hearing Aid Fitter | 1107 Bethlehem Pike Ste 211, Flourtown, PA 19031 | 2007-04-02 |
| 1114973112 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 1640 Bethlehem Pike, Flourtown, PA 19031 | 2006-05-25 |
| 1558330738 | Robert M Epting | Physical Therapist | 5 W Wissehickon Ave, Flourtown, PA 19031 | 2006-03-17 |
| 1285609362 | Kathryn E Seelaus | Physical Therapist | 5 W Wissahickon Ave, Flourtown, PA 19031 | 2006-02-22 |
| Find all providers in zip 19031 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
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| 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 | ||||
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| 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.