MEDICARE: INTERACTIVE PHYSICAL THERAPY

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	PT020411	PA

General Provider Information

NPI Number	:	1154710192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERACTIVE PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	2417 WELSH RD
Second Line	:	SUITE 201
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-2213
Country	:	US
Telephone Number	:	215-941-6289
Fax Number	:

Provider Business Practice Location Address
First Line	:	2417 WELSH RD
Second Line	:	SUITE 201
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-2213
Country	:	US
Telephone Number	:	215-941-6289
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. JESSICA GONZALEZ
Credential	:
Telephone Number	:	215-941-6289

Provider Enumeration Date	:	01/14/2015
Last Update Date	:	01/14/2015

Similar Medicare Providers

1053539734 — DR. DREW A. SHULMAN DMD
Practice Location Address:

2417 WELSH RD
PHILADELPHIA, PA
19114-2213

Practice Phone: 215-969-8080
Practice Fax:

1003244419 — KEYSTONE MEDICAL GROUP
Practice Location Address:

2417 WELSH RD , SUITE 201
PHILADELPHIA, PA
19114-2213

Practice Phone: 215-914-5122
Practice Fax:

1265847008 — COMMUNITY CARE CENTER OF THE NORTHEAST
Practice Location Address:

2417 WELSH RD , SUITE 202
PHILADELPHIA, PA
19114-2213

Practice Phone: 215-335-4416
Practice Fax: 215-338-4426

1184000838 — DREW SHULMAN, DMD, PC
Practice Location Address:

2417 WELSH RD , STE 10
PHILADELPHIA, PA
19114-2213

Practice Phone: 215-969-8080
Practice Fax: 215-969-2321

1982055737 — DAPHNE G GOLDING, MD, PC
Practice Location Address:

2417 WELSH RD , SUITE 220
PHILADELPHIA, PA
19114-2213

Practice Phone: 267-639-2555
Practice Fax: 215-613-5631

1861015497 — LEADWAYS HOME CARE SERVICES LLC
Practice Location Address:

2417 WELSH RD STE 21219
PHILADELPHIA, PA
19114-2213

Practice Phone: 347-387-9911
Practice Fax:

Directions to “INTERACTIVE PHYSICAL THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.