Drayer Physical Therapy Institute LLC
Organization Active NPI Physical Therapist · Milford, PA
NPI 1013979095 · NPPES record last updated Feb 20, 2012
Key facts
- NPI
- 1013979095
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- DRAYER PHYSICAL THERAPY INSTITUTE LLC
- Practice address
- 100 Wheatfield Dr
Suite 1
Milford, PA 18337-7698 - Phone
- (570) 296-5911
- Fax
- (570) 296-5931
- NPI assigned
- Apr 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Luke Drayer
- Title
- Ceo
- Phone
- (717) 220-2100
Other NPIs on the same Medicare enrollment 48
Practitioners 2
-
Holly Grimm, DPT
-
Derek Alan Freshman, DPT
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 | ||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
100 Wheatfield Dr
Suite 1
Milford, PA 18337-7698
Mailing address
100 Wheatfield Dr
Suite 1
Milford, PA 18337-7698
Phone (570) 296-5911
Other providers in Milford, PA
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- Martha S Dubensky
- East West Healthcare, LLP
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All providers in Milford, 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 20, 2012. 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.