Unknown Individual – Specialist, NPI 1285652552

Unknown Individual is a healthcare provider. based in Southampton, Pennsylvania. specializing in Specialist. They hold a License No. PT-008023-L (PA). The NPI Number for Unknown Individual is 1285652552

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1285652552
Phone
(215) 322-8022
Address
1200 DEER RUN CT
Deactivation Date
17 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2153134155
Graduation Year
1993 (33 years ago)
PAC ID
4981658507
Group Practice PAC ID
4789967647
Professional Enrollment ID
I20050308000172
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1200, Deer Run Court, Bryn Gweled, Upper Southampton Township, Bucks County, Pennsylvania, 18966, United States

    SOUTHAMPTON, PA 189664626

    Phone: (215) 322-8022

    Type: Mailing

  • 1201, Bustleton Pike, Feasterville, Feasterville-Trevose, Lower Southampton Township, Bucks County, Pennsylvania, 19053, United States

    SUITE 201

    FEASTERVILLE, PA 19053

    Phone: (215) 357-0505

    Fax: (215) 357-0808

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 18966)

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Provider's Procedures

Unknown Individual performs procedures in Specialist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYPA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes39716

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789967647View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
-PA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Occupational Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Occupational Therapist In Private PracticePA
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1285652552 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Other Service Providers. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Southampton, Pennsylvania. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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