Jaclyn Fantom
Physical Therapist · Philadelphia, PA
Jaclyn Fantom is a physical therapist with a practice address in Philadelphia, Pennsylvania, and NPI 1053296673, issued on Aug 11, 2025. Check the license (Pennsylvania PT033564, as entered in NPPES) with the Pennsylvania board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jaclyn Fantom
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- PT033564 PA
Self-reported in NPPES; status is on the state search - Practice location
- 2410 S Broad St Ste 101, Philadelphia, PA 19145
- Phone
- (215) 334-4400
- Enumerated
- Aug 11, 2025
- Record last updated
- Aug 13, 2025
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 12,783 in Pennsylvania → Look up another NPI →
Also registered at 2410 S Broad St Ste 101
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Joshua Hetzelson, PT, DPTPhysical Therapist1023848033
- Howe Wang, PT, DPTPhysical Therapist1124772629
Verify Jaclyn Fantom in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
Search for license PT033564Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jaclyn Fantom among 12,783 physical therapist records in Pennsylvania
Jaclyn Fantom is one of 12,783 physical therapist records with a practice address in Pennsylvania. 26% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 94% of them.
- NPI issued2025 · 94% of these records are older, 3% newer
- In a Medicare fileNo · 26% of these records are
- In the CMS Doctors and Clinicians fileNo · 28% of these records are
- Record last updated2025 · 66% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
931 physical therapist records list a practice address in Philadelphia
They are 931 of the 42,849 NPPES records with a practice address in Philadelphia, and 12,783 physical therapist records in Pennsylvania. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 12,783 in Pennsylvania → Every provider in Philadelphia → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- John AshenbrennerPhila, PA 191451558313585
- Aaron Borgmann, BS, MPT, ATCPhiladelphia, PA 191451679540108
- Nicole Cannon, DPTPhiladelphia, PA 191451942451356
- Augustine Ciardullo, P.T.Phila, PA 191451275612988
- Carl Contino, MS, PTPhiladelphia, PA 191451003829219
- Vincent Esposito, PTPhiladelphia, PA 191451083615967
- Steven Feldman, DPTPhiladelphia, PA 191451982943106
- David Hill, PTPhila, PA 191451073699450
Common questions
What is Jaclyn Fantom's NPI number?
Jaclyn Fantom's National Provider Identifier (NPI) is 1053296673, issued on Aug 11, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Jaclyn Fantom located?
The NPPES record lists a practice address at 2410 S Broad St Ste 101, Philadelphia, PA, 19145. Phone: (215) 334-4400. Providers update this record themselves, so call before visiting.
How can I verify Jaclyn Fantom's license?
NPPES lists Pennsylvania license number PT033564, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.