Drayer Physical Therapy Institute LLC
Organization Active NPI Physical Therapist · Red Lion, PA
NPI 1013308089 · NPPES record last updated Feb 12, 2015
Key facts
- NPI
- 1013308089
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- DRAYER PHYSICAL THERAPY INSTITUTE LLC
- Practice address
- 492 N Main Street
Red Lion, PA 17356 - Phone
- (717) 839-2159
- Fax
- (717) 565-1102
- NPI assigned
- Feb 12, 2015
- Organization subpart
- No
Authorized official
- Name
- Luke A Drayer
- Title
- Chairman and Ceo
- Phone
- (717) 220-2100
Other NPIs on the same Medicare enrollment 48
Practitioners 6
-
Christopher G Korba, PT, ATC
-
Shelley Marie Leap, DPT
-
Timothy Rodak, DPT
-
Juliana Rose Shuty, DPT
-
Kathleen S Vujasin, OTR/L
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040126000110 | PA | Part B Supplier - Clinic/Group Practice | 8224948666 |
Receives reassigned benefits from 404 practitioners 48 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
492 N Main Street
Red Lion, PA 17356
Mailing address
492 N Main Street
Red Lion, PA 17356
Phone (717) 839-2159
Other providers in Red Lion, PA
- Drake P Dehart
- Danielle Lucia Difalco
- Isaac Francis Dimisa
- Carol Dowling
- Drake P Dehart DO
- Pamela Dudek
- Steven Dunczyk
- Angel Dwyer
- Zachary Echevarria
- Kathryn L. Emenheiser
All providers in Red Lion, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.