Individual provider Active NPI

Tony T Ton-That, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lancaster, PA
National Provider Identifier
1013904259
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD49558 Issued in PA
Practice address
2100 Harrisburg Pike
Lancaster, PA 17601-2644
Phone
(717) 544-3197
Fax
(717) 544-3171
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD49558 PA Primary

Addresses

Primary practice location

2100 Harrisburg Pike
Lancaster, PA 17601-2644

Mailing address

675 Good Dr
Lancaster, PA 17601-2426
Phone (717) 406-3000

Other practice location 1

675 Good Dr
Lancaster, PA 17601-2426
Phone (717) 406-3000

Other identifiers 1

IdentifierTypeStateIssuer
001029850001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071030000087 PA Practitioner - Physical Medicine and Rehabilitation 4082708086 Reassigns benefits to 3 organizations
I20240201003537 CA Practitioner - Physical Medicine and Rehabilitation 4082708086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Hahnemann University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PCG Medical Institute CorpGroup PAC ID 6406209592, 4 clinicians

Practice addresses (Care Compare)

11922 Seacrest Dr
Suite E
Garden Grove, CA 92840-1937
Phone (657) 667-0078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD49558PAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Aug 1, 2017 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Nov 1, 2013 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Nov 1, 2013 Accepting new patients
Lancaster General Hospital CurrentSince Aug 1, 2017 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Valley View Comprehensive Care CurrentSince Oct 8, 2024 Accepting new patients
Lancaster General Medical Group CurrentSince Jul 6, 2015 Accepting new patients
Lancaster General Medical Group CurrentSince Jul 6, 2015 Accepting new patients
Lancaster General Hospital Pain Medicine CurrentSince Oct 16, 2017 Accepting new patients

Locations

11922 Seacrest Dr
Ste E
Garden Grove, CA 92840
Phone (657) 667-0078

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

2100 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3030

675 Good Dr
Lancaster, PA 17601
Phone (717) 406-3000

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1671 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-5331

2150 Harrisburg Pike
Ste 200A
Lancaster, PA 17601
Phone (717) 396-9167

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

8206 Leesburg Pike
Ste 409
Vienna, VA 22182
Phone (703) 288-0094

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCCDDD/Endpoint/CCCDDD

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013904259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 GOOD DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012426",
            "telephone_number": "717-406-3000",
            "fax_number": "717-394-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HARRISBURG PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3197",
            "fax_number": "717-544-3171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Good Dr",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012426",
            "country_code": "US",
            "telephone_number": "717-406-3000",
            "fax_number": "717-394-7501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TON-THAT",
        "first_name": "TONY",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD49558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001029850001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.