MEDICARE: PERSONAL TOUCH REHAB AND FITNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305S00000X	Point of Service	PT015515	PA
2	2251N0400X	Neurology Physical Therapist	PT015515	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	078730	OTHER	PA	MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	078730	OTHER	PA	PTAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003095324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONAL TOUCH REHAB AND FITNESS

Provider Business Mailing Address
First Line	:	3538 ORIOLE DR
Second Line	:
City	:	HUNTINGDON VALLEY
State	:	PA
Zip	:	19006-3412
Country	:	US
Telephone Number	:	215-635-5575
Fax Number	:	215-635-5456

Provider Business Practice Location Address
First Line	:	150 JAMES WAY
Second Line	:
City	:	SOUTHAMPTON
State	:	PA
Zip	:	18966-3818
Country	:	US
Telephone Number	:	215-635-5575
Fax Number	:	215-635-5456

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. MARIA BRODSKY
Credential	:
Telephone Number	:	215-635-5575

Provider Enumeration Date	:	11/02/2007
Last Update Date	:	01/15/2021

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Directions to “PERSONAL TOUCH REHAB AND FITNESS ” Practice Location

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