Joshua Pike

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI005498 Issued in PA

Practice address

121 Havershire Blvd
State College, PA 16803-4610

Phone

(814) 325-9755

NPI assigned

Oct 21, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mr. Joshua Darryl Pike Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1003459116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 SPRUCE AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166011631",
            "telephone_number": "814-329-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HAVERSHIRE BLVD",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168034610",
            "telephone_number": "814-325-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "JOSHUA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI005498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSHUA",
            "last_name": "PIKE",
            "middle_name": "DARRYL",
            "prefix": "MR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stephen Harry Phillips II, D.O.
• Tyler Robert Phillips, DC
• Phoenix Rehabilitation and Health Services, Inc.
• Phoenix Rehabilitation and Health Services, Inc.
• John E. Piatt III, M.D.
• Christopher W. Pine, DMD
• Danielle Mary Pisani, PT, DPT
• Jennifer Pisch, LPN
• Emery Vaughn Pitcel, DC
• Daniel R Pitts, MD

• Physical Therapy Assistant in State College, PA
• Providers in State College, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.