NPIMap

Organization Active NPI

Northeast PT Associates, Inc.

  • Physical Therapist
  • Hazleton, PA
National Provider Identifier
1023010667
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
DAPT000042 Issued in PA
Legal business name
NORTHEAST PT ASSOCIATES, INC.
Practice address
1751 E Broad St
Hazleton, PA 18201-5650
Phone
(570) 459-4559
Fax
(570) 459-4558
NPI assigned
Aug 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Mr. Frank Seratch III, MPTNPI 1730116096
Title
Secretary-Treasurer
Phone
(570) 459-4559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X DAPT000042 PA Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X PA

Addresses

Primary practice location

1751 E Broad St
Hazleton, PA 18201-5650

Mailing address

1751 E Broad St
Hazleton, PA 18201-5650
Phone (570) 459-4559

Other identifiers 6

IdentifierTypeStateIssuer
00053019OtherPAHIGHMARK BLUE SHIELD
2471582OtherPACIGNA
2483752OtherPAAETNA
50002332OtherPACAPITAL BLUE CROSS
812310OtherPAFIRST PRIORITY HEALTH
435084OtherPAHEALTH AMERICA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040316000370 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2769372721 Receives reassigned benefits from 3 practitioners
Practice locations: Shenandoah, PA; Hazleton, PA; Drums, PA

National Provider Directory

National Provider Directory

Locations

159 S Old Turnpike Rd
Bldg C
Drums, PA 18222
Phone (570) 788-4670

1751 E Broad St
Hazleton, PA 18201
Phone (570) 455-2500

1 W Broad St
Ste 2
Hazleton, PA 18201
Phone (570) 459-4559

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1023010667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015650",
            "telephone_number": "570-459-4559",
            "fax_number": "570-459-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015650",
            "telephone_number": "570-459-4559",
            "fax_number": "570-459-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PT ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "SERATCH",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "SECRETARY-TREASURER",
        "authorized_official_telephone_number": "570-459-4559",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT000042",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "00053019",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2471582",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2483752",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50002332",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "812310",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "435084",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.