MS. MARSHA ELLEN BERGER GRANT MS PT OCJ
NPI 1184624868
Physical Therapist in Chalfont, PA

NPI Status: Active since July 26, 2005

Contact Information

1500 HORIZON DR
STE 102E
CHALFONT, PA
ZIP 18914
Phone: (215) 712-0300
Fax: (215) 712-9040

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  • Individual
  • Female
  • Years of Experience 42
  • Physical Therapist
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting

About MARSHA BERGER GRANT

This page provides the complete NPI Profile along with additional information for Marsha Berger Grant, a provider established in Chalfont, Pennsylvania with a medical specialization in Physical Therapist and more than 42 years of experience. The healthcare provider is registered in the NPI registry with number 1184624868 assigned on July 2005. The practitioner's primary taxonomy code is 225100000X with license number PT005482L (PA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1184624868
Provider Name
MS. MARSHA ELLEN BERGER GRANT MS PT OCJ
Gender
Female
Entity Type
Individual
Location Address
1500 HORIZON DR STE 102E CHALFONT, PA 18914
Location Phone
(215) 712-0300
Location Fax
(215) 712-9040
Mailing Address
676 DE KALB PIKE STE 205 BLUE BELL, PA 19422
Mailing Phone
(610) 270-0380
Mailing Fax
(215) 712-9040
Medical School Name
OTHER
Graduation Year
1984
Is Sole Proprietor?
Yes
Enumeration Date
07-26-2005
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PT005482L
License State
PA
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
069900QYQMEDICARE ID-TYPE UNSPECIFIED (04) 

Medicare Participation & PECOS Enrollment Status

Marsha Berger Grant is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 3779776521

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20101025000926

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Re-evaluation for physical therapy, typically 20 minutes

A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.

This service was performed 13 times for 12 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

This service was performed 287 times for 12 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

This service was performed 666 times for 15 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $23.17 for a new patient copayment and $18.61 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 18914 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $92.69
  • Minimum New Patient Price $59.88
  • Maximum New Patient Price $180.99
  • Average New Patient Copayment $23.17
  • Minimum New Patient Copayment $14.97
  • Maximum New Patient Copayment $45.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $74.47
  • Minimum Established Patient Price $19.3
  • Maximum Established Patient Price $147.29
  • Average Established Patient Copayment $18.61
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 24
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

Reviews for MS. MARSHA ELLEN BERGER GRANT MS PT OCJ

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184624868
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211641228812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 2 + 2 + 8 + 8 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1184624868 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881685493DR. BHASKAR M SAVANI DMD
Individual
Dentist1500 HORIZON DR SUITE 104
CHALFONT, PA 18914
(215) 997-9980
1912940883 DANIEL COHEN
Individual
Podiatrist (Foot Surgery)1500 HORIZON DR SUITE 106
CHALFONT, PA 18914
(215) 997-3668
1104926104DR. SAM KADAN DMD
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)1500 HORIZON DR SUITE 107
CHALFONT, PA 18914
(215) 997-0599
1174611404DR. JOSEPH F PALERMO D.M.D
Individual
Dentist (Endodontics)1500 HORIZON DR SUITE 112
CHALFONT, PA 18914
(215) 997-9888
1427128792DR. JOYTILAK MAJUMDAR DMD
Individual
Dentist (General Practice)1500 HORIZON DR 104
CHALFONT, PA 18914
(215) 997-9980
1912060054HIGHPOINT FOOT AND ANKLE CENTER LLC
Organization
Podiatrist1500 HORIZON DR SUITE 106
CHALFONT, PA 18914
(215) 997-3668
1427184035DR. DANIEL LEUNG D.M.D.
Individual
Dentist (Endodontics)1500 HORIZON DR SUITE 112
CHALFONT, PA 18914
(215) 997-9888
1801088414MRS. REBECCA SUSAN HAHN DPT
Individual
Physical Therapist1500 HORIZON DR SUITE 102E
CHALFONT, PA 18914
(215) 712-0300
1508021858FASTVAX LLC
Organization
Clinic/Center1500 HORIZON DR ST 120
CHALFONT, PA 18914
(267) 308-0534
1629388665MISS MORGAN FINEGAN DPT
Individual
Physical Therapist (Orthopedic)1500 HORIZON DR SUITE 102E
CHALFONT, PA 18914
(215) 712-0300
1629379797VACCINATIONS NOW, INC.
Organization
Public Health or Welfare1500 HORIZON DR SUITE 120
CHALFONT, PA 18914
(215) 996-1400
1467751503MS. MARINA H. OPDAM PT
Individual
Physical Therapist (Orthopedic)1500 HORIZON DR SUITE 102E
CHALFONT, PA 18914
(215) 712-0300
1346520244MISS JENNIFER LYNN EISENNAGEL DPT
Individual
Physical Therapist (Orthopedic)1500 HORIZON DR SUITE 102E
CHALFONT, PA 18914
(215) 712-0300
1881956241SAM KADAN DMD PC
Organization
Dentist (Orthodontics and Dentofacial Orthopedics)1500 HORIZON DR SUITE 107
CHALFONT, PA 18914
(215) 997-0599
1346310620DR. MARK SIMEONE D.M.D.
Individual
Dentist (General Practice)1500 HORIZON DR 104
CHALFONT, PA 18914
(215) 997-9980
1134468135HIGHPOINT OBGYN
Organization
Obstetrics & Gynecology1500 HORIZON DR SUITE 115
CHALFONT, PA 18914
(215) 997-8800
1952419061DR. MELISSA KIM MALAMED DPM
Individual
Podiatrist1500 HORIZON DR STE 106
CHALFONT, PA 18914
(215) 997-3668
1710384771MISS BRIANA PATTON DPT
Individual
Physical Therapist (Orthopedic)1500 HORIZON DR SUITE 102E
CHALFONT, PA 18914
(215) 712-0300
1316306384MR. ALEXANDER WEINERT DPT
Individual
Physical Therapist (Orthopedic)1500 HORIZON DR SUITE 102E
CHALFONT, PA 18914
(215) 712-0300
1093881963A PLUS FAMILY DENTAL CARE P.C.
Organization
Dentist (General Practice)1500 HORIZON DR SUITE#104
CHALFONT, PA 18914
(215) 997-9980

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184624868, enumerated in the NPI registry as an "individual" on July 26, 2005

The provider is located at 1500 Horizon Dr Ste 102e Chalfont, Pa 18914 and the phone number is (215) 712-0300

The provider's speciality is Physical Therapist with taxonomy code 225100000X

The provider has more than 42 years of experience.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Medicare beneficiaries should expect a typical cost of $92.69 with an average copayment of $23.17 for new patient appointments. Established patients should expect a typical charge of $74.47 and an average copayment of 18.61. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Re-evaluation for physical therapy, typically 20 minutes, Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes and Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes.

This NPI record was last updated on July 26, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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