WYNCOTE PHYSICAL MEDICINE & DIAGNOSTIC PC
NPI 1043311764
Physical Medicine & Rehabilitation in Wyncote, PA

Active since September 26, 2006
25 WASHINGTON LN, STE 13C, WYNCOTE, PA 19095(215) 887-5030(215) 887-5525 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wyncote Physical Medicine & Diagnostic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYNCOTE PHYSICAL MEDICINE & DIAGNOSTIC PC (NPI 1043311764) is a healthcare organization registered as a physical medicine & rehabilitation in Wyncote, Pennsylvania and active in the NPI registry since September 2006. The organization lists Amelia L Tabuena, Attending Physician, as its authorized official.

NPPES Registry Identity

NPI1043311764
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameWYNCOTE PHYSICAL MEDICINE & DIAGNOSTIC PC
Location Address25 WASHINGTON LN, STE 13CWyncote, PA 19095-1400
Mailing Address25 Washington Ln, Ste 13cWyncote, PA 19095-1400 · (215) 887-5030 · Fax (215) 887-5525
Fax(215) 887-5525
Organization SubpartNo
Authorized OfficialAmelia L TabuenaAttending Physician · (215) 887-5030
Enumeration DateSeptember 26, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1043311764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in PA · MD039601L
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
25 WASHINGTON LN, Wyncote, PA 19095

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wyncote Physical Medicine & Diagnostic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20040326000011Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wyncote Physical Medicine & Diagnostic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Medicine and Rehabilitation
NPI 1245225473
701 EASTON RD
Willow Grove, PA 19090
(215) 830-9568
✔ PECOS✔ Accepts Medicare4.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wyncote Physical Medicine & Diagnostic PC's NPI number?

The NPI number for Wyncote Physical Medicine & Diagnostic PC is 1043311764. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Wyncote Physical Medicine & Diagnostic PC located?

Wyncote Physical Medicine & Diagnostic PC is located at 25 Washington Ln Ste 13C, Wyncote, PA 19095. The listed phone number is (215) 887-5030.

What is Wyncote Physical Medicine & Diagnostic PC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Wyncote Physical Medicine & Diagnostic PC enrolled in Medicare?

Yes. Wyncote Physical Medicine & Diagnostic PC is registered in the Medicare PECOS enrollment system.

When is Wyncote Physical Medicine & Diagnostic PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Wyncote Physical Medicine & Diagnostic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Wyncote Physical Medicine & Diagnostic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wyncote Physical Medicine & Diagnostic PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.