Individual provider Active NPI

Nicholas Michael Lombard, DPT

  • Physical Therapist
  • Lebanon, PA
National Provider Identifier
1104364595
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025804 Issued in PA
Practice address
840 Helen Dr
Suite 200
Lebanon, PA 17042-7456
Phone
(717) 270-5465
Fax
(717) 270-5689
NPI assigned
Feb 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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 PT025804 PA Primary

Addresses

Primary practice location

840 Helen Dr
Suite 200
Lebanon, PA 17042-7456

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
I20170302000516 PA Practitioner - Physical Therapist in Private Practice 4486938834 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
Drayer Physical Therapy Institute LLCGroup PAC ID 8224948666, 213 clinicians

Practice addresses (Care Compare)

840 Helen Dr
Suite 200
Lebanon, PA 17042-7456
Phone (717) 270-5465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT025804PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Feb 3, 2017 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Feb 3, 2017 Accepting new patients

Locations

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

3103 W Emaus Ave
Allentown, PA 18103
Phone (484) 387-1065

8125 Adams Dr
#B
Hummelstown, PA 17036
Phone (717) 220-2020

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

840 Helen Dr
Ste 200
Lebanon, PA 17042
Phone (717) 270-5465

6299 Route 309
Ste 1F
New Tripoli, PA 18066
Phone (484) 387-1065

3722 Lehigh St
Ste 406
Whitehall, PA 18052
Phone (484) 387-1065

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.

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1104364595",
    "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": "840 HELEN DR",
            "address_2": "SUITE 200",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427456",
            "telephone_number": "717-270-5465",
            "fax_number": "717-270-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARD",
        "first_name": "NICHOLAS",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.