Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bustleton Physical & Sports Rehab

Organization Physical Therapist · NPI 1780743302

Bustleton Physical & Sports Rehab is a Physical Therapist in Philadelphia, Pennsylvania. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

9622 Bustleton Ave Ste 4
Philadelphia, PA 19115-3100
Phone: (215) 677-8258
Fax: (215) 673-4966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1780743302
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donna Gavarone — Owner And President · (215) 676-7067
NPI enumeratedDecember 8, 2006
Last updated in NPPESAugust 22, 2020
Mailing address9622 Bustleton Ave, Ste 4, Philadelphia, PA 19115-3100

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