Individual provider Active NPI

Nicholas Dorazio, DPT

  • Physical Therapist
  • Lehighton, PA
National Provider Identifier
1356952246
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028619 Issued in PA
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

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
40QA01925700NJMDPhysical Therapist
PT028619PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jul 31, 2023 Accepting new patients
Rehabcare Group East, LLC CurrentSince Oct 9, 2023 Accepting new patients
Rehabcare Group East, LLC Physical Therapist CurrentSince Oct 9, 2023 Accepting new patients
Virginia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jul 10, 2024 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.

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.

Verify at the official NPI Registry.