Active NPI
Christopher Dende Wanyo
- Physical Therapist
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT025588
- Practice address
- 170 N Pointe Blvd
Lancaster, PA 17601-4132 - Phone
- (717) 299-4871
- NPI assigned
- Sep 20, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT025588 | PA | Primary |
Addresses
Primary practice location
170 N Pointe Blvd
Lancaster, PA 17601-4132
Mailing address
430 Innovation Dr
Blairsville, PA 15717-8096
Phone (724) 343-4060
Other practice location 1
2913 Spooky Nook Rd Ste 100
Manheim, PA 17545-9149
Phone (717) 299-4871
Other practice location 2
212 Willow Valley Lakes Dr Ste 201
Willow Street, PA 17584-9668
Phone (717) 299-4871
Other practice location 3
1701 Cornwall Rd Ste 100
Lebanon, PA 17042-7480
Phone (717) 299-4871
Other practice location 4
16515 Pottsville Pike
Suite B
Hamburg, PA 19526-8182
Phone (484) 660-3139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019541330001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
170 N Pointe Blvd
Lancaster, PA 17601-4132
Phone (717) 299-4871
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Institute LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Institute LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Institute LLC | Physical Therapist | Current | Accepting new patients |
| Orthopedic Assoc of Lancaster LTD | Current | Accepting new patients | |
| Orthopedic Assoc of Lancaster LTD | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
170 N Pointe Blvd
Lancaster, PA 17601
2125 Noll Dr
Ste 100
Lancaster, PA 17603
Phone (717) 291-9920
1701 Cornwall Rd
Ste 100
Lebanon, PA 17042
Phone (717) 272-2919
2913 Spooky Nook Rd
Ste 100
Manheim, PA 17545
212 Willow Valley Lakes Dr
Ste 201
Willow Street, PA 17584
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Lancaster, PA
- NPI 1609835933
-
- Physical Therapist
- Hummelstown, PA
- NPI 1538122700
-
- Physical Therapist
- York, PA
- NPI 1053348409
-
- Physical Therapist
- York, PA
- NPI 1700421716
-
- Orthopaedic Surgery Physician
- Ephrata, PA
- NPI 1245934686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1053869099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 INNOVATION DR",
"city": "BLAIRSVILLE",
"state": "PA",
"postal_code": "157178096",
"telephone_number": "724-343-4060",
"fax_number": "724-343-4068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 N POINTE BLVD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014132",
"telephone_number": "717-299-4871"
}
],
"practiceLocations": [
{
"address_1": "2913 Spooky Nook Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Manheim",
"state": "PA",
"postal_code": "175459149",
"country_code": "US",
"telephone_number": "717-299-4871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "212 Willow Valley Lakes Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Willow Street",
"state": "PA",
"postal_code": "175849668",
"country_code": "US",
"telephone_number": "717-299-4871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1701 Cornwall Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170427480",
"country_code": "US",
"telephone_number": "717-299-4871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16515 Pottsville Pike",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Hamburg",
"state": "PA",
"postal_code": "195268182",
"country_code": "US",
"telephone_number": "484-660-3139",
"fax_number": "484-660-3373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANYO",
"first_name": "CHRISTOPHER",
"middle_name": "DENDE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-20",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT025588",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019541330001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.