NPIMap

Organization Active NPI

Drevna-Hudson Physical Therapy Associates, P.C.

  • Physical Therapist
  • Lancaster, PA
National Provider Identifier
1174577167
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DREVNA-HUDSON PHYSICAL THERAPY ASSOCIATES, P.C.
Practice address
700 Eden Rd
Lancaster, PA 17601-4700
Phone
(717) 569-4184
Fax
(717) 569-4192
NPI assigned
May 22, 2006
Last updated
Jun 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Susan Sollenberger
Title
Financial Administrator
Phone
(717) 569-4184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PA Primary

Addresses

Primary practice location

700 Eden Rd
Lancaster, PA 17601-4700

Mailing address

700 Eden Rd
Lancaster, PA 17601-4700
Phone (717) 569-4184

Other identifiers 3

IdentifierTypeStateIssuer
0220800OtherPACIGNA
50057090OtherPACAPITAL BLUE
DR1808013OtherPABLUE SHIELD

Other names 1

  • Drevna Physical Therapy Associates PC Former legal business name

National Provider Directory

National Provider Directory

Locations

160 N Pointe Blvd
Ste 103
Lancaster, PA 17601
Phone (717) 569-4184

2078 Bennett Ave
Lancaster, PA 17601
Phone (717) 569-4184

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1174577167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 EDEN RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014700",
            "telephone_number": "717-569-4184",
            "fax_number": "717-569-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 EDEN RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014700",
            "telephone_number": "717-569-4184",
            "fax_number": "717-569-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREVNA-HUDSON PHYSICAL THERAPY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "SOLLENBERGER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "FINANCIAL ADMINISTRATOR",
        "authorized_official_telephone_number": "717-569-4184"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0220800",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE",
            "identifier": "50057090",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DR1808013",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drevna Physical Therapy Associates PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.