Healthcare Provider Details

I. General information

NPI: 1306634084
Provider Name (Legal Business Name): PHYSIOWAVE ELECTRODIAGNOSTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 TOWN CTR TREATMENT ROOM 3
NEW BRITAIN PA
18901-6004
US

IV. Provider business mailing address

420 CHARIOT CT
CHALFONT PA
18914-3773
US

V. Phone/Fax

Practice location:
  • Phone: 267-337-4139
  • Fax:
Mailing address:
  • Phone: 267-337-4139
  • Fax: 267-337-4139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: NEIL THOMAS BOYLE
Title or Position: OWNER
Credential: DPT
Phone: 267-337-4139