Provider Demographics
NPI:1053829671
Name:IACCARINO HEALTH GROUP, INC.
Entity Type:Organization
Organization Name:IACCARINO HEALTH GROUP, INC.
Other - Org Name:BLUE BELL PHYSICAL THERAPY OF SPRING HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:IACCARINO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, PT
Authorized Official - Phone:267-462-4738
Mailing Address - Street 1:901 N BETHLEHEM PIKE
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-1306
Mailing Address - Country:US
Mailing Address - Phone:267-462-4738
Mailing Address - Fax:267-462-4742
Practice Address - Street 1:901 N BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-1306
Practice Address - Country:US
Practice Address - Phone:267-462-4738
Practice Address - Fax:267-462-4742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-17
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT022477225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty