Active NPI
Craig Carvin, PT
- Physical Therapist
- Allentown, PA
National Provider Identifier
1215923461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT005493L
- Practice address
- 250 Cetronia Road
Suite 303
Allentown, PA 18104-9168 - Phone
- (610) 973-6200
- Fax
- (610) 973-6534
- NPI assigned
- Sep 23, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT005493L | PA | Primary |
| Sports Physical Therapist | 2251S0007X | PT005493L | PA | |
| Orthopedic Physical Therapist | 2251X0800X | PT005493L | PA |
Addresses
Primary practice location
250 Cetronia Road
Suite 303
Allentown, PA 18104-9168
Mailing address
PO Box 848269
Boston, MA 02284-8269
Phone (610) 973-1700
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01345801 | Other | PA | BLUE CROSS |
| 467798 | Other | PA | PERSONAL CHOICE |
| 4608845 | Other | PA | AETNA |
| 467798 | Other | PA | FIRST PRIORITY LIFE |
| 467798 | Other | PA | BLUE SHIELD |
| 088295 | Other | PA | MEDICARE |
| 0052130 | Other | PA | ORTHONET |
| 01345801 | Other | PA | KEYSTONE CENTRAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248998400000",
"number": "1215923461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848269",
"city": "BOSTON",
"state": "MA",
"postal_code": "022848269",
"telephone_number": "610-973-1700",
"fax_number": "610-973-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 CETRONIA ROAD",
"address_2": "SUITE 303",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049168",
"telephone_number": "610-973-6200",
"fax_number": "610-973-6534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARVIN",
"first_name": "CRAIG",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2009-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT005493L",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "PA",
"license": "PT005493L",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT005493L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "01345801",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "467798",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4608845",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY LIFE",
"identifier": "467798",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "467798",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "088295",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHONET",
"identifier": "0052130",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE CENTRAL",
"identifier": "01345801",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.