Active NPIIndividual providerSole proprietor

Dr. Michael K Booth, PT, DPT, ATC, MS

Physical Therapist in Aston, Pennsylvania

NPI Number1811460082
Practice location
484 Conchester Hwy, Aston, PA 19014-3129
Fax
610-494-1206
Last updated
March 24, 2026

Michael Kent Booth is a Physical Therapist based in Aston, PA. Michael Kent Booth practices in Aston, PA and has the professional credentials of PT, DPT, ATC, MS. The NPI Number for Michael Kent Booth is 1811460082 and holds a License No. 25MT00302200 (NJ). The current practice location address for Michael Kent Booth is 484 Conchester Hwy, Aston, PA 19014-3129 and can be reached out via phone at 610-494-4802 and via fax at 610-494-1206.

Provider Profile Details

NPI Number
1811460082
Provider Name
Michael Kent Booth
Credential
PT, DPT, ATC, MS
Provider Entity Type
Individual
Gender
Male
Address
484 Conchester Hwy, Aston, PA 19014-3129
Phone Number
610-494-4802
Fax Number
610-494-1206
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
January 9, 2019
Last Update Date
March 24, 2026
Certification Date
March 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
484 Conchester Hwy
Aston, PA 19014-3129
City
Aston
Zip
19014-3129
Phone Number
610-494-4802
Fax Number
610-494-1206
Aston, PA 19014Get directions →

Provider Business Mailing Address Details

Address
19 Shoemaker Dr
Swedesboro, NJ 08085-1256
City
Swedesboro
State
NJ
Zip
08085-1256
Phone Number
609-805-7668

License Information

License Number (1)
25MT00302200
License State (1)
NJ
License Number (2)
PT031441
License State (2)
PA
Taxonomy (2)
Physical Therapist · 225100000X · Primary
License Number (3)
40QA02349300
License State (3)
NJ
Taxonomy (3)
Physical Therapist · 225100000X
License Number (4)
RT007664
License State (4)
PA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Michael K Booth, PT, DPT, ATC, MS?

The NPI number of Dr. Michael K Booth, PT, DPT, ATC, MS is 1811460082. It was assigned on January 9, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael K Booth, PT, DPT, ATC, MS?

Dr. Michael K Booth, PT, DPT, ATC, MS is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 25MT00302200.

Where does Dr. Michael K Booth, PT, DPT, ATC, MS practice?

The practice location is 484 Conchester Hwy, Aston, PA 19014-3129. The office can be reached at 610-494-4802 (phone) or 610-494-1206 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811460082 directly on the NPPES registry website.

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