Unknown Individual – Physical Therapist, NPI 1508090176

Unknown Individual is a healthcare provider. based in Plymouth meeting, Pennsylvania. specializing in Physical Therapist. They hold a License No. 070.000685 (IL). The NPI Number for Unknown Individual is 1508090176

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508090176
Phone
(610) 834-1122
Address
2250 HICKORY RD
Deactivation Date
22 May 2025
Data current as of
20 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

  • Hickory Pointe, 2250, Hickory Road, Plymouth Meeting Mall, Hickorytown, Plymouth Township, Montgomery County, Pennsylvania, 19462, United States

    SUITE 240

    PLYMOUTH MEETING, PA 194621047

    Phone: (610) 834-1122

    Type: Location

  • 9123, 27th Street, Brookfield, Proviso Township, Cook County, Illinois, 60513, United States

    BROOKFIELD, IL 605131013

    Phone:

    Type: Mailing

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 19462)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1508090176 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Plymouth Meeting?
Public fields place Unknown Individual around Plymouth Meeting, Pennsylvania. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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