Active NPI
Jesse John Lawton
- Physical Therapist
- Media, PA
National Provider Identifier
1114684487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT029825
- Practice address
- 200 E State St Ste 108
Media, PA 19063-3434 - Phone
- (161) 035-7387
- NPI assigned
- Nov 22, 2021
- 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 | PT029825 | PA | Primary |
Addresses
Primary practice location
200 E State St Ste 108
Media, PA 19063-3434
Mailing address
3809 W Chester Pike Ste 150
Newtown Square, PA 19073-0259
Phone (610) 359-6571
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | SOAPNOTE | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT029825 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novacare Outpatient Rehabilitation East Inc | Current | Accepting new patients | |
| Novacare Outpatient Rehabilitation East, Inc. | Physical Therapist | Current | Accepting new patients |
| Novacare Outpatient Rehabilitation East Inc | Current | Accepting new patients |
Locations
352 Railroad St
Ligonier, PA 15658
Phone (724) 238-3301
3300 Aramingo Ave
Ste C3
Philadelphia, PA 19134
Phone (267) 792-3951
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 Therapy Clinic/Center
- Ligonier, PA
- NPI 1487010583
Physical Therapist
-
- Physical Therapy Clinic/Center
- Collegeville, PA
- NPI 1073512968
-
- Physical Therapy Clinic/Center
- Ferndale, MI
- NPI 1245235191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1114684487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3809 W CHESTER PIKE STE 150",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190730259",
"telephone_number": "610-359-6571",
"fax_number": "610-566-1572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E STATE ST STE 108",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633434",
"telephone_number": "161-035-7387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWTON",
"first_name": "JESSE",
"middle_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-22",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT029825",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "SOAPNOTE",
"affiliation": "N",
"endpointDescription": "SOAP Note",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR",
"address_1": "200 E State St Ste 108",
"city": "Media",
"state": "PA",
"country_code": "US",
"postal_code": "190633434",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.