Active NPI
Norman Brian Waltz, PT
- Physical Therapist
- East Petersburg, PA
National Provider Identifier
1093889727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007361L
- Practice address
- 5665B Main St
East Petersburg, PA 17520-1551 - Phone
- (717) 406-3904
- NPI assigned
- Nov 17, 2006
- 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 | PT007361L | PA | Primary |
Addresses
Primary practice location
5665B Main St
East Petersburg, PA 17520-1551
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
275 Hospital Pkwy Fl 5
San Jose, CA 95119-1106
Phone (408) 362-4309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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 |
| Bryn Mawr Sports Medicine and Rehabilitation | Physical Therapist | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
5665B Main St
East Petersburg, PA 17520
Phone (717) 406-3904
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 and National Provider Directory roles.
-
- Physical Therapist
- Hummelstown, PA
- NPI 1538122700
-
- Physical Therapist
- York, PA
- NPI 1053348409
-
dba Bryn Mawr Sports Rehab. Inc
- Physical Therapist
- Bryn Mawr, PA
- NPI 1396761904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1093889727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5665B MAIN ST",
"city": "EAST PETERSBURG",
"state": "PA",
"postal_code": "175201551",
"telephone_number": "717-406-3904"
}
],
"practiceLocations": [
{
"address_1": "275 Hospital Pkwy Fl 5",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951191106",
"country_code": "US",
"telephone_number": "408-362-4309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTZ",
"first_name": "NORMAN",
"middle_name": "BRIAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT007361L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Petersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.