Individual provider Active NPI

Stephen James Pfisterer, PHYSICAL THERAPIST

  • Specialist
  • Hanover, PA
National Provider Identifier
1366553265
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT010874L Issued in PA
Practice address
100 Frederick Street
Suite 201
Hanover, PA 17331-1956
Phone
(717) 633-5075
Fax
(717) 633-5816
NPI assigned
Aug 31, 2006
Last updated
Nov 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT010874L PA Primary

Addresses

Primary practice location

100 Frederick Street
Suite 201
Hanover, PA 17331-1956

Mailing address

100 Frederick Street
Suite B01
Hanover, PA 17331-1956
Phone (717) 632-0774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050822001128 PA Practitioner - Physical Therapist in Private Practice 2062443898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hanover Family Practice Associates, LLCGroup PAC ID 1850299587, 15 clinicians

Practice addresses (Care Compare)

100 Frederick St
Hanover, PA 17331-3518
Phone (717) 633-5075

112 Clover LN
Hanover, PA 17331-4321
Phone (717) 637-7812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hanover Family Practice Associates, LLC CurrentSince Dec 15, 1998 Accepting new patients

Locations

100 Frederick St
Ste 201
Hanover, PA 17331
Phone (717) 633-5075

100 Penn St
Ste D
Hanover, PA 17331
Phone (717) 632-0774

112 Clover Ln
Hanover, PA 17331
Phone (717) 632-4449

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1366553265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FREDERICK STREET",
            "address_2": "SUITE B01",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311956",
            "telephone_number": "717-632-0774",
            "fax_number": "717-633-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FREDERICK STREET",
            "address_2": "SUITE 201",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311956",
            "telephone_number": "717-633-5075",
            "fax_number": "717-633-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFISTERER",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT010874L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.