Drayer Physical Therapy Institute LLC
Organization Active NPI Physical Therapy Clinic/Center · Lititz, PA
NPI 1326683095 · NPPES record last updated Nov 16, 2019
Key facts
- NPI
- 1326683095
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- DRAYER PHYSICAL THERAPY INSTITUTE LLC
- Practice address
- 702 Creekside LN
Lititz, PA 17543-6826 - Phone
- (717) 568-6418
- NPI assigned
- Nov 16, 2019
- Organization subpart
- No
Authorized official
- Name
- Kevin Johanneson
- Title
- VP of Revenue Cycle
- Phone
- (423) 238-2313
Other NPIs on the same Medicare enrollment 48
Practitioners 1
-
Dominic Salomone, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040126000110 | PA | Part B Supplier - Clinic/Group Practice | 8224948666 |
Receives reassigned benefits from 404 practitioners 48 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
702 Creekside LN
Lititz, PA 17543-6826
Mailing address
1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Other providers in Lititz, PA
- Sabrina DO
- Margaret Louise Donahue
- Kathleen A Donohue
- John G Douglas
- Kyle Douglas
- Drayer Physical Therapy Institute LLC
- Geoffrey Dreher
- Barbara Drinkwater
- Mariana Drot de Gourville
- Paisley Dawn Dueck
All providers in Lititz, PA · Physical Therapy Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.