Organization Active NPI

Easter Seals Central PA

  • Physical Therapist
  • Waynesboro, PA
National Provider Identifier
1083757454
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EASTER SEALS CENTRAL PA
Practice address
626 N Grant St
Waynesboro, PA 17268-1845
Phone
(717) 762-5315
NPI assigned
Feb 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David Bateman
Title
Ceo President
Phone
(814) 944-5014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PA Primary

Addresses

Primary practice location

626 N Grant St
Waynesboro, PA 17268-1845

Mailing address

626 N Grant St
Waynesboro, PA 17268-1845

Other identifiers 1

IdentifierTypeStateIssuer
1000023490030MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083757454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 N GRANT ST",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172681845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 N GRANT ST",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172681845",
            "telephone_number": "717-762-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS CENTRAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BATEMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "814-944-5014"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000023490030",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.