Active NPI
Beryl Wadsworth Rajnic, PT
- Physical Therapist
- Lancaster, PA
National Provider Identifier
1093836082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016745
- Practice address
- 1380 Elm Ave
Lancaster, PA 17603-4642 - Phone
- (717) 399-8152
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PT016745 | PA | Primary |
Addresses
Primary practice location
1380 Elm Ave
Lancaster, PA 17603-4642
Mailing address
3611 Peregrine Cir
Mountville, PA 17554-1136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093836082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3611 PEREGRINE CIR",
"city": "MOUNTVILLE",
"state": "PA",
"postal_code": "175541136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 ELM AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176034642",
"telephone_number": "717-399-8152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJNIC",
"first_name": "BERYL",
"middle_name": "WADSWORTH",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT016745",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.