| Motive Sports And Physical Therapy Malvern, Llc | |
| 
					480 Lancaster Ave Ste 4, Frazer, PA 19355-1834  | |
| (610) 500-5296 | |
| (484) 359-0098 | 
| Full Name | Motive Sports And Physical Therapy Malvern, Llc | 
|---|---|
| Type | Facility | 
| Speciality | Physical Therapist | 
| Location | 480 Lancaster Ave Ste 4, Frazer, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871354159 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary | 
| Provider Name | Gregory Masiko | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1699773960 PECOS PAC ID: 5698759595 Enrollment ID: I20040617000473  | 
| Provider Name | Meryl Goldstein | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1578561452 PECOS PAC ID: 1355310244 Enrollment ID: I20040928000502  | 
| Provider Name | Michael Groh | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1215960281 PECOS PAC ID: 8325060270 Enrollment ID: I20051220000890  | 
| Provider Name | Jennifer Lee O'gara | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1124132212 PECOS PAC ID: 0547264855 Enrollment ID: I20060829000159  | 
| Provider Name | Mark Worrilow | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1689073207 PECOS PAC ID: 0840410437 Enrollment ID: I20141002000754  | 
| Provider Name | Robert T Scanlon | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1447314455 PECOS PAC ID: 2365625316 Enrollment ID: I20210624002225  | 
| Provider Name | Tyler W Hastings | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1619647351 PECOS PAC ID: 8628475324 Enrollment ID: I20210922003766  | 
| Provider Name | Kelsey E Noble | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1083370035 PECOS PAC ID: 3971993460 Enrollment ID: I20211123002012  | 
| Provider Name | Kristen Konieczny | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1134870579 PECOS PAC ID: 4688068711 Enrollment ID: I20220307000059  | 
| Provider Name | Elizabeth D'ginto | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1538842604 PECOS PAC ID: 8123481173 Enrollment ID: I20230824000890  | 
| Provider Name | Abigail Bogovich | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1962269639 PECOS PAC ID: 9537505292 Enrollment ID: I20250326000426  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Motive Sports And Physical Therapy Malvern, Llc 540 Hopewell St, Birdsboro, PA 19508-2657 Ph: (610) 500-5296  | Motive Sports And Physical Therapy Malvern, Llc 480 Lancaster Ave Ste 4, Frazer, PA 19355-1834 Ph: (610) 500-5296  | 
Audrey Damewood, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 480 Lancaster Ave Unit 4, Frazer, PA 19355 Phone: 620-500-5296  |