Individual provider Active NPI

John Eddy, PT

  • Physical Therapist
  • Ebensburg, PA
National Provider Identifier
1164576468
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT003101L Issued in PA
Practice address
3053 New Germany Rd
Ebensburg, PA 15931-3516
Phone
(800) 332-5740
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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 PT003101L PA Primary

Addresses

Primary practice location

3053 New Germany Rd
Ebensburg, PA 15931-3516

Mailing address

3053 New Germany Rd
Ebensburg, PA 15931-3516
Phone (800) 332-5740

Other identifiers 2

IdentifierTypeStateIssuer
90955OtherPAHIGHMARK
001604400-0003OtherPADPW

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180912001738 PA Practitioner - Physical Therapist in Private Practice 8224388269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Pennsylvania Hand CenterGroup PAC ID 5294636288, 18 clinicians

Practice addresses (Care Compare)

6001 Stonewood Dr
FL 2
Wexford, PA 15090-7380
Phone (724) 933-3850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT003101LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Pennsylvania Hand Center CurrentSince Jul 1, 2018 Accepting new patients

Locations

6001 Stonewood Dr
Wexford, PA 15090
Phone (724) 933-3800

6001 Stonewood Dr
Fl 2
Wexford, PA 15090
Phone (724) 933-3850

Organizations & group practices 1

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1164576468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 NEW GERMANY RD",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159313516",
            "telephone_number": "800-332-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 NEW GERMANY RD",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159313516",
            "telephone_number": "800-332-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "JOHN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT003101L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "90955",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPW",
            "identifier": "001604400-0003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.