Provider Demographics
NPI:1689637266
Name:NMS HEALTH GROUP, INC
Entity Type:Organization
Organization Name:NMS HEALTH GROUP, INC
Other - Org Name:BLUE BELL PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:NANDO
Authorized Official - Middle Name:C
Authorized Official - Last Name:ADDARI
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT, ATC
Authorized Official - Phone:610-275-0330
Mailing Address - Street 1:1524 DEKALB PIKE
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-3348
Mailing Address - Country:US
Mailing Address - Phone:610-275-0300
Mailing Address - Fax:610-275-2455
Practice Address - Street 1:1524 DEKALB PIKE
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-3348
Practice Address - Country:US
Practice Address - Phone:610-275-0300
Practice Address - Fax:610-275-2455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADAPT000518225100000X
PAPT007901L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0254117000OtherKEYSTONE ID
PA2523297OtherAETNA GROUP ID
PA035383Medicare ID - Type UnspecifiedGROUP ID