Healthcare Provider Details

I. General information

NPI: 1457032708
Provider Name (Legal Business Name): A3 PHYSICAL THERAPY AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2023
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 E MERMAID LN
GLENSIDE PA
19038-7600
US

IV. Provider business mailing address

5421 QUENTIN ST
PHILADELPHIA PA
19128-2818
US

V. Phone/Fax

Practice location:
  • Phone: 610-579-1022
  • Fax: 484-245-5370
Mailing address:
  • Phone: 610-579-1022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW JOSEPH CAPPELLI
Title or Position: OWNER
Credential:
Phone: 610-579-1022