John Scott Blake, PTA
Individual provider Active NPI Physical Therapy Assistant · Waynesboro, PA
NPI 1114058401 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114058401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TE007725 (PA)
- Practice address
- 501 E Main St
Waynesboro Hospital - Physical Medicine Department
Waynesboro, PA 17268-2353 - Phone
- (717) 765-4000
- Fax
- (717) 765-3489
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE007725 | PA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE007725 | PA | Yes |
Addresses
Primary practice location
501 E Main St
Waynesboro Hospital - Physical Medicine Department
Waynesboro, PA 17268-2353
Mailing address
129 Prices Church Rd
Waynesboro, PA 17268-9668
Phone (717) 765-4000
Other providers in Waynesboro, PA
- Mary Helen Beamer
- Stacie Michelle Beaver
- Richard Clark Bell
- Megan Biesecker
- Bio-Medical Applications of Pennsylvania, Inc.
- Garrett H Blanchet
- Courtney Ann Bohn
- Michael John Bonchonsky
- Sheena Marie Bonebrake
- Whitney Rae Bowers
All providers in Waynesboro, PA · Physical Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.