Active NPI
Jacob Kyle Dgien, PT, DPT
- Physical Therapist
- Williamsport, PA
National Provider Identifier
1265109516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT029635
- Practice address
- 700 High St
Williamsport, PA 17701-3100 - Phone
- (570) 321-2605
- NPI assigned
- Aug 25, 2021
- 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 | PT029635 | PA | Primary |
Addresses
Primary practice location
700 High St
Williamsport, PA 17701-3100
Mailing address
427 Meadowbrook Rd
Muncy, PA 17756-6715
Phone (570) 971-6627
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT029635 | PA | MD | Physical Therapist |
Interoperability endpoints
- jacob.k.dgien@upmcdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1265109516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 MEADOWBROOK RD",
"city": "MUNCY",
"state": "PA",
"postal_code": "177566715",
"telephone_number": "570-971-6627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 HIGH ST",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177013100",
"telephone_number": "570-321-2605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DGIEN",
"first_name": "JACOB",
"middle_name": "KYLE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-25",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT029635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsport, PA
- Michaela J Detrick, LPC, CAADC
- Ellen Judith Detweiler, P.T.
- Stephanie Deviney
- Kathryn Clair Devoir, PA-C
- Sylvia Dewire, PHARMD
- Diakon Child Family and Community Ministries
- Diakon Child Family and Community Ministries
- Diakon Child, Family & Community Ministries (Diakon Family Life Services)
- Diakon Child, Family & Community Ministries (Diakon Family Life Services)
- Diakon Child, Family & Community Ministries
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.