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

Frederick P Nissley, DO

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1922096122

Frederick P Nissley, DO is a Physical Medicine & Rehabilitation Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2005.

Licensed in
PA
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3401 N Broad St Bsmt Rock Pavilion
Philadelphia, PA 19140-5103
Phone: (215) 707-3646
Fax: (215) 707-6594
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 0S009450L (PA)

Record details

NPI number1922096122
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 11, 2005
Last updated in NPPESJanuary 22, 2010

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