Individual provider Active NPI

Landon Earl Wahl, DPT

  • Physical Therapist
  • Dillsburg, PA
National Provider Identifier
1073962445
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025195 Issued in PA
Practice address
120 N Baltimore St
Suite 110
Dillsburg, PA 17019-1212
Phone
(717) 502-3100
Fax
(717) 502-3101
NPI assigned
Jun 7, 2016
Last updated
Jun 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT025195 PA Primary

Addresses

Primary practice location

120 N Baltimore St
Suite 110
Dillsburg, PA 17019-1212

Mailing address

5300 Derry St
2ND Floor
Harrisburg, PA 17111-3576
Phone (717) 839-2110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160705000020 PA Practitioner - Physical Therapist in Private Practice 8426340977 Reassigns benefits to 1 organization

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)

120 N Baltimore St
Suite 110
Dillsburg, PA 17019-1212
Phone (717) 502-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT025195PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jun 8, 2016 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jun 8, 2016 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3120 Pleasant Valley Blvd
Altoona, PA 16602
Phone (814) 943-5041

3 Jennifer Ct
Ste A
Carlisle, PA 17015
Phone (717) 243-0271

120 N Baltimore St
#110
Dillsburg, PA 17019
Phone (717) 501-3100

1104 W High St
Ste 2
Ebensburg, PA 15931
Phone (814) 472-4468

8205 Presidents Dr
#2
Hummelstown, PA 17036
Phone (717) 803-2560

1225 Scalp Ave
Johnstown, PA 15904
Phone (814) 961-3304

5108 E Trindle Rd
Ste 200
Mechanicsburg, PA 17050
Phone (717) 790-9920

781 Far Hills Dr
Ste 400
New Freedom, PA 17349
Phone (717) 235-9890

106 S Conestoga Dr
Shippensburg, PA 17257
Phone (717) 477-2066

1606 N Center Ave
Ste 170
Somerset, PA 15501
Phone (814) 445-3330

1805 Loucks Rd
Ste 200
York, PA 17408
Phone (717) 764-0144

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1073962445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 DERRY ST",
            "address_2": "2ND FLOOR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113576",
            "telephone_number": "717-839-2110",
            "fax_number": "717-565-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N BALTIMORE ST",
            "address_2": "SUITE 110",
            "city": "DILLSBURG",
            "state": "PA",
            "postal_code": "170191212",
            "telephone_number": "717-502-3100",
            "fax_number": "717-502-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "LANDON",
        "middle_name": "EARL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.

Verify at the official NPI Registry.