Individual provider Active NPI

Aaron M Dembeck, MS, P.T.

  • Physical Therapist
  • Williamsport, PA
National Provider Identifier
1255614822
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT023556 Issued in PA
Practice address
2350 E 3Rd St
Williamsport, PA 17701-4088
Phone
(570) 360-5915
Fax
(570) 560-6501
NPI assigned
Sep 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 23760 MD
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT023556 PA Primary

Addresses

Primary practice location

2350 E 3Rd St
Williamsport, PA 17701-4088

Mailing address

7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123

Other practice location 1

1400 Forest Glen Road
Suite 400
Silver Spring, MD 20910-1482
Phone (301) 589-3324

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150217001437 PA Practitioner - Physical Therapist in Private Practice 2264605898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians

Practice addresses (Care Compare)

2350 E 3Rd St
Williamsport, PA 17701-4088
Phone (570) 743-1703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT023556PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC Multi-Specialty CurrentSince Jun 1, 2021 Accepting new patients
Lycoming Physical Therapy LTD Multi-Specialty CurrentSince Sep 2, 2014 Accepting new patients
Family Practice Center, PC CurrentSince Jun 1, 2021 Accepting new patients
Phoenix Rehabilitation and Health Services, Inc. Physical Therapist Past Accepting new patients
Pennsylvania Institute of Neurology LLC Multi-Specialty Past Accepting new patients

Locations

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

1009 Broad St
Montoursville, PA 17754
Phone (570) 368-8389

12560 State Route 405
Ste 2
Watsontown, PA 17777
Phone (570) 508-7393

2350 E 3rd St
Williamsport, PA 17701
Phone (570) 360-5915

Interoperability endpoints

  • Direct secure messaging: aarondembeckmpt@fpc.medentdirect.com
  • FHIR API: https://api.platform.athenahealth.com/17073/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1255614822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 E 3RD ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177014088",
            "telephone_number": "570-360-5915",
            "fax_number": "570-560-6501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Forest Glen Road",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209101482",
            "country_code": "US",
            "telephone_number": "301-589-3324",
            "fax_number": "301-681-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMBECK",
        "first_name": "AARON",
        "middle_name": "M",
        "credential": "MS, P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-21",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "23760",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.