Active NPI
Nicholas Dorazio, DPT
- Physical Therapist
- Lehighton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT028619
- Practice address
- 397 Hemlock Dr
Lehighton, PA 18235-9712 - Phone
- (570) 386-5522
- NPI assigned
- Aug 13, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01925700 | NJ | |
| Physical Therapist | 225100000X | PT028619 | PA | Primary |
Addresses
Primary practice location
397 Hemlock Dr
Lehighton, PA 18235-9712
Mailing address
2590 Durness Dr
Finksburg, MD 21048-1929
Phone (314) 210-7964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250318000105 | DC | Practitioner - Physical Therapist in Private Practice | 9436511060 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01925700 | NJ | MD | Physical Therapist |
| PT028619 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Rehabcare Group East, LLC | Current | Accepting new patients | |
| Rehabcare Group East, LLC | Physical Therapist | Current | Accepting new patients |
| Virginia Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
110 W Wissahickon Ave
Flourtown, PA 19031
Phone (215) 248-7801
300 Welsh Rd
Bldg 1
Horsham, PA 19044
1537 Washington Rd
Pittsburgh, PA 15228
Phone (412) 341-4400
8280 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (202) 794-7159
Organizations & group practices 4
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
- Fairfax, VA
- NPI 1235720848
DC, Physical Therapist
-
- Physical Therapist
- Horsham, PA
- NPI 1528689445
-
- Rehabilitation Clinic/Center
- Johnstown, PA
- NPI 1770537821
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Waco, TX
- NPI 1215806898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1356952246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2590 DURNESS DR",
"city": "FINKSBURG",
"state": "MD",
"postal_code": "210481929",
"telephone_number": "314-210-7964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 HEMLOCK DR",
"city": "LEHIGHTON",
"state": "PA",
"postal_code": "182359712",
"telephone_number": "570-386-5522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORAZIO",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01925700",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT028619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lehighton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.