Active NPI
Nathaniel Creznic, PT
- Physical Therapist
- Harrisburg, PA
National Provider Identifier
1144464447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018772
- Practice address
- 4300 Londonderry Rd
2ND FL, Bma
Harrisburg, PA 17109-5317 - Phone
- (717) 657-7520
- Fax
- (717) 657-7505
- NPI assigned
- Apr 30, 2009
- 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 | PT018772 | PA | Primary |
Addresses
Primary practice location
4300 Londonderry Rd
2ND FL, Bma
Harrisburg, PA 17109-5317
Mailing address
118 Washington St
Harrisburg, PA 17104-1677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
105 4TH St
East Berlin, PA 17316-9638
Phone (717) 585-0510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PHS Physical Therapy, LLC | Current | Accepting new patients | |
| Commonhealth Orthopedic Physical Therapy | Physical Therapist | Current | Accepting new patients |
| PHS Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731
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
- East Berlin, PA
- NPI 1720365489
Physical Therapist
-
dba Select Physical Therapy
- Physical Therapist
- Camp Hill, PA
- NPI 1912300096
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Lancaster, PA
- NPI 1841792637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241049600000",
"number": "1144464447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 WASHINGTON ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 LONDONDERRY RD",
"address_2": "2ND FL, BMA",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171095317",
"telephone_number": "717-657-7520",
"fax_number": "717-657-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREZNIC",
"first_name": "NATHANIEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-30",
"last_updated": "2009-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.