MEDICARE: TRACY JO BINDER DPT

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	225100000X	Physical Therapist	PT016376	PA

General Provider Information

NPI Number	:	1669739074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY JO BINDER DPT

Provider Business Mailing Address
First Line	:	301 BEWLEY RD
Second Line	:
City	:	HAVERTOWN
State	:	PA
Zip	:	19083-5432
Country	:	US
Telephone Number	:	925-719-3926
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 BEWLEY RD
Second Line	:
City	:	HAVERTOWN
State	:	PA
Zip	:	19083-5432
Country	:	US
Telephone Number	:	925-719-3926
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2012
Last Update Date	:	12/14/2025

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