NICHOLAS PETROSKI (NPI# 1871011882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871011882 |
| Entity Type | Individual |
| Full Name | NICHOLAS PETROSKI |
| Credential | DPT |
| Practice Address |
12285 Mcnulty Rd Philadelphia PA 19154-1210 |
| Practice Telephone | 2157764872 |
| Mailing Telephone | 2157764872 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2018-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
PT026382 | PA | Allopathic & Osteopathic Physicians |
| N | 225100000X | Physical Therapist | 40QA01752700 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT026382 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 773 E Route 70 Ste E110, Marlton, NJ 080532371 | 8562820339 | 8563348654 |
| Street Address |
12285 MCNULTY RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19154-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598240384 | Petroski Physiotherapy and Performance LLC | Physical Therapist | 12285 Mcnulty Rd, Philadelphia, PA 19154-1210 | 2018-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624547 | Philadelphia Mills Dental Center | Dentist | 1318 Franklin Mills Cir #807, Philadelphia, PA 19154 | 2019-11-27 |
| 1952944472 | Lilian Trinh | Occupational Therapist | 2701 Southhampton Rd, Philadelphia, PA 19154 | 2019-10-28 |
| 1861964009 | Margaret Folkes | Occupational Therapist | 2900 Southhampton Road, Philadelphia, PA 19154 | 2018-12-28 |
| 1093231227 | Jeffrey Coulter | Counselor | 11732 Denman Road, Philadelphia, PA 19154 | 2017-08-18 |
| 1518358860 | Davida Godett | Community Health Worker | 12575 Chilton Rd, Phila, PA 19154 | 2015-02-09 |
| 1780962647 | Advanced Urgent Care of Franklin Market LLC | Family Medicine | 189 Franklin Mills Blvd, Philadelphia, PA 19154 | 2011-07-26 |
| 1639329675 | Hashaam Shahid | Technician/Technologist | 1706 Franklin Mills Circle, Eye Wise, Philadelphia, PA 19154 | 2008-09-26 |
| 1902077902 | Kathleen O'toole Rayca | Speech-Language Pathologist | 10913 Kipling Lane, Philadelphia, PA 19154 | 2008-03-18 |
| 1144303603 | Patricia Lillian Green | Counselor | 10360 Drummond Road, Philadelphia Center Human Development, Philadelphia, PA 19154 | 2006-10-20 |
| 1760589113 | Sam's Club Optical | Technician/Technologist | 1000 Franklin Mills Circle, Philadelphia, PA 19154 | 2006-09-20 |
| Find all providers in zip 19154 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182297 | Austin Taylor Lloyd | Physical Therapist | 1107 E Erie Ave Ste 11, Philadelphia, PA 19124-5423 | 2020-10-26 |
| 1942821913 | Nolan Weaver | Physical Therapist | 1426 Frankford Ave, Philadelphia, PA 19125-4410 | 2020-05-01 |
| 1508337668 | Michael Hegarty | Physical Therapist | 2000 Hamilton St Ste 211, Philadelphia, PA 19130-3814 | 2018-12-16 |
| 1427536283 | Allison Dastugue | Physical Therapist | 1608 Walnut St Fl 2, Philadelphia, PA 19103-5457 | 2018-08-03 |
| 1770061590 | Philip Zhu | Physical Therapist | 1608 Walnut St Ste 200, Philadelphia, PA 19103-5426 | 2018-08-02 |
| 1780160713 | Jason Drott | Physical Therapist | 9337 Krewstown Rd # 39, Philadelphia, PA 19115-3710 | 2018-07-12 |
| 1508363508 | Shannon Riley | Physical Therapist | 517 S 4th St, Philadelphia, PA 19147-1569 | 2018-04-07 |
| 1922522036 | Evan Vasilauskas | Physical Therapist | 2000 Hamilton St Ste 202, Philadelphia, PA 19130-3849 | 2017-07-31 |
| 1124557681 | Erin Saucier | Physical Therapist | 601 Walnut St Ste 647, Philadelphia, PA 19106-3323 | 2017-06-08 |
| 1104182849 | Kevin Kubinski | Physical Therapist | 9337 Krewstown Rd, Philadelphia, PA 19115-3710 | 2012-04-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19154 |
Please comment or provide details below to improve the information on NICHOLAS PETROSKI.
| 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.