Individual provider Active NPI

Siang Ting Oh, PT

  • Physical Medicine & Rehabilitation Physician
  • Hazle Township, PA
National Provider Identifier
1104845577
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT010653L Issued in PA
Practice address
1077 N Church St
Hazle Township, PA 18202-1465
Phone
(570) 501-1808
Fax
(855) 635-6308
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT010653L PA Primary

Addresses

Primary practice location

1077 N Church St
Hazle Township, PA 18202-1465

Mailing address

1077 N Church St
Hazle Township, PA 18202-1465
Phone (570) 501-1808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060919000520 PA Practitioner - Physical Therapist in Private Practice 4183629454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Medical Group P CGroup PAC ID 1355247180, 105 clinicians
Hazleton Physical Therapy, LLCGroup PAC ID 2264439686, 4 clinicians

Practice addresses (Care Compare)

1077 N Church St
Hazle Township, PA 18202-1465
Phone (570) 501-1808

1544 Route 61 Hwy S
Suite 6174
Pottsville, PA 17901-4208
Phone (570) 909-9935

2211 Quarry Dr
Suite E52
Reading, PA 19609-1162
Phone (610) 396-5163

420 S Jackson St
Pottsville, PA 17901-3625
Phone (570) 621-5000

Merit-based Incentive Payment System (MIPS)

Final score
74.21 of 100Reported as group
Quality
57.53
Improvement activities
40
Cost
70.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hazleton Physical Therapy, LLC Physical Medicine & Rehabilitation CurrentSince Sep 4, 2006 Accepting new patients
Integrated Medical Group, P.C. CurrentSince Mar 1, 2026 Accepting new patients
Integrated Medical Group P C CurrentSince Mar 1, 2026 Accepting new patients

Locations

1077 N Church St
Hazle Township, PA 18202
Phone (570) 455-8301

8 W Broad St
Ste 216
Hazleton, PA 18201
Phone (570) 501-1808

1544 Route 61 Hwy S
Ste 6174
Pottsville, PA 17901
Phone (570) 909-9935

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1104845577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 N CHURCH ST",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021465",
            "telephone_number": "570-501-1808",
            "fax_number": "855-635-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 N CHURCH ST",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021465",
            "telephone_number": "570-501-1808",
            "fax_number": "855-635-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "SIANG",
        "middle_name": "TING",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "PT010653L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazle Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.