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

Phillip Iaccarino

Individual provider Physical Therapist · NPI 1285111872

Phillip Iaccarino is a Physical Therapist in Private Practice in Lafayette Hill, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Premier Orthopaedic and Sports Medicine Associates, Ltd, a 219-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

4000 Foxhound Dr
Lafayette Hill, PA 19444-1014
Phone: (215) 402-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2536 Highway 49 E Ste 130, Pleasant View, TN 37146-7160 — (615) 746-1565

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT028504 (PA)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1285111872
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 26, 2018
Last updated in NPPESMarch 3, 2022
Certification dateMarch 3, 2022
Mailing address10133 Sherrill Blvd Ste 200, Knoxville, TN 37932-3347

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Premier Orthopaedic And Sports Medicine Associates, Ltd — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lafayette Hill