Active NPI
Joseph Matthew Wozneak, PT
- Physical Therapist
- Warren, PA
National Provider Identifier
1356561351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT005465L
- Practice address
- 682 Pleasant Dr
Warren, PA 16365-3468 - Phone
- (814) 723-7060
- Fax
- (814) 723-4544
- NPI assigned
- May 1, 2007
- 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 | PT005465L | PA | Primary |
Addresses
Primary practice location
682 Pleasant Dr
Warren, PA 16365-3468
Mailing address
1100 Shawnee Road
Lima, OH 45805
Phone (419) 999-2030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FA573459 | Other | PA | ASSIGNMENT |
| W0678838 | Other | PA | BC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT005465L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Warren, PA
- NPI 1407072473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1356561351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 SHAWNEE ROAD",
"city": "LIMA",
"state": "OH",
"postal_code": "45805",
"telephone_number": "419-999-2030",
"fax_number": "419-991-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "682 PLEASANT DR",
"city": "WARREN",
"state": "PA",
"postal_code": "163653468",
"telephone_number": "814-723-7060",
"fax_number": "814-723-4544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOZNEAK",
"first_name": "JOSEPH",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT005465L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASSIGNMENT",
"identifier": "FA573459",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "W0678838",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warren, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.