PRIMAL PHYSICAL THERAPY ,LLC (NPI# 1487105615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487105615 |
| Entity Type | Organization |
| Organization Name | PRIMAL PHYSICAL THERAPY ,LLC |
| Practice Address |
1111 E Lancaster Ave Bryn Mawr PA 19010 |
| Mailing Address |
124 N Edmonds Ave Havertown PA 19083-5023 |
| Practice Telephone | 3028978496 |
| Practice Fax Number | 4844892787 |
| Mailing Telephone | 3028978496 |
| Mailing Fax Number | 4844892787 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | MRS. JENNIFER J THOMAS (OWNER) |
| Authorized Official Telephone | 3028978496 |
| Authorized Official Credential | MPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT025088 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1111 E LANCASTER AVE |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| 1033539978 | Marta Ludwig | Social Worker | 101 N. Merion Ave., Bryn Mawr College Health Center, Bryn Mawr, PA 19010 | 2014-04-18 |
| Find all providers in zip 19010 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093878357 | Karin Kennedy | Physical Therapist | 480 S Bryn Mawr Ave, Country Day School of The Sacred Heart, Bryn Mawr, PA 19010-2101 | 2006-12-18 |
| 1144875253 | Eric Montoye | Physical Therapist | 931 E Haverford Rd Fl 3, Bryn Mawr, PA 19010-3838 | 2019-08-06 |
| 1629621024 | Jonathan Schehr | Physical Therapist | 931 E Haverford Rd Ste 201, Bryn Mawr, PA 19010 | 2019-07-24 |
| 1700364551 | Catherine Moretto | Physical Therapist | 931 E Haverford Rd Fl 3, Bryn Mawr, PA 19010-3838 | 2018-08-03 |
| 1962937581 | Foot & Ankle Physical Therapy, LLC | Physical Therapist | 931 E Haverford Rd, Bryn Mawr, PA 19010-3838 | 2017-04-21 |
| 1336168202 | Orthopaedic Specialists, PC | Physical Therapist | 27 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3406 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182297 | Austin Taylor Lloyd | Physical Therapist | 1107 E Erie Ave Ste 11, Philadelphia, PA 19124-5423 | 2020-10-26 |
| 1700483385 | Freedom Physical Therapy & Performance | Physical Therapist | 868 N U.S. 15, Dillsburg, PA 17019 | 2020-10-06 |
| 1336755388 | Katherine Mccurdy | Physical Therapist | 475 Allendale Rd Ste 205, King of Prussia, PA 19406-1495 | 2020-09-16 |
| 1902419906 | Melinda Steimling | Physical Therapist | 306 S New St Ste 202, Bethlehem, PA 18015-1652 | 2020-08-28 |
| 1043828502 | Diane Marilyn Zimardo | Physical Therapist | 1575 Bannister St Ste 4, York, PA 17404-4946 | 2020-07-21 |
| 1942821913 | Nolan Weaver | Physical Therapist | 1426 Frankford Ave, Philadelphia, PA 19125-4410 | 2020-05-01 |
| 1265052815 | Kristen M Markle | Physical Therapist | 796 Mill Rd, Spring Grove, PA 17362-9183 | 2020-04-23 |
| 1710510383 | Megan Gerhart | Physical Therapist | 1179 Welsh Rd, Lansdale, PA 19446-1358 | 2020-02-21 |
| 1841820214 | Maria Schweizerhof | Physical Therapist | 1438 Chestnut St Unit 3, Emmaus, PA 18049-1913 | 2020-01-24 |
| 1497391114 | Samantha Rosser | Physical Therapist | 261 Second Street Pike, Southampton, PA 18966-3833 | 2019-11-19 |
| 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.