Individual provider Active NPI

Caleb Michael Lomax

  • Physical Therapist
  • Jersey Shore, PA
National Provider Identifier
1083110217
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026047 Issued in PA
Practice address
1020 Thompson St
Jersey Shore, PA 17740-1729
Phone
(570) 398-0100
Fax
(570) 398-7039
NPI assigned
Apr 5, 2018
Last updated
Apr 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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 PT026047 PA Primary

Addresses

Primary practice location

1020 Thompson St
Jersey Shore, PA 17740-1729

Mailing address

115 S Pond LN
Cogan Station, PA 17728-8334
Phone (570) 435-2651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250617003802 PA Practitioner - Physical Therapist in Private Practice 2961913868 Reassigns benefits to 1 organization
I20260611001466 CO Practitioner - Physical Therapist in Private Practice 2961913868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9555 W 59TH Ave
Arvada, CO 80004-5300
Phone (800) 699-9395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT026047PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
H2 Rehabilitation Extension Services, LLC Physical Therapist Current Accepting new patients
H2 Rehabilitation Extension Services, LLC CurrentSince Jun 1, 2025 Accepting new patients
H2 Rehabilitation Extension Services LLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
H2 Rehabilitation Extension Services LLC Past Accepting new patients
H2 Rehabilitation Extension Services LLC Past Accepting new patients
H2 Rehabilitation Extension Services LLC Past Accepting new patients
H2 Rehabilitation Extension Services, LLC Past Accepting new patients
H2 Rehabilitation Extension Services, LLC Past Accepting new patients

Locations

137 Montgomery Ave
Ste 205
Boyertown, PA 19512
Phone (484) 658-3150

2733 State Route 45
Ste 6
Milton, PA 17847
Phone (570) 955-3940

7 S New St
Ste 1
Nazareth, PA 18064
Phone (610) 755-8634

1948 E 3rd St
Ste C5
Williamsport, PA 17701

Organizations & group practices 9

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": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1083110217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S POND LN",
            "city": "COGAN STATION",
            "state": "PA",
            "postal_code": "177288334",
            "telephone_number": "570-435-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 THOMPSON ST",
            "city": "JERSEY SHORE",
            "state": "PA",
            "postal_code": "177401729",
            "telephone_number": "570-398-0100",
            "fax_number": "570-398-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMAX",
        "first_name": "CALEB",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey Shore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.