Healthcare Provider Details

I. General information

NPI: 1942129184
Provider Name (Legal Business Name): PETER MICHAEL HOMANN PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 PLUSH MILL RD
WALLINGFORD PA
19086-6040
US

IV. Provider business mailing address

1722 MILL RD
UPPER CHICHESTER PA
19061-3249
US

V. Phone/Fax

Practice location:
  • Phone: 215-499-5448
  • Fax: 800-307-4356
Mailing address:
  • Phone: 215-499-5448
  • Fax: 800-307-4356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: