Active NPI
Timothy Drevna, DPT,OCS,ATC,CSCS
- Orthopedic Physical Therapist
- Lancaster, PA
National Provider Identifier
1386683654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT003023L
- Practice address
- 700 Eden Rd
Lancaster, PA 17601-4700 - Phone
- (717) 569-4184
- Fax
- (717) 569-4192
- NPI assigned
- Jun 5, 2006
- Last updated
- Jun 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | RT000203A | PA | |
| Orthopedic Physical Therapist | 2251X0800X | PT003023L | PA | Primary |
Addresses
Primary practice location
700 Eden Rd
Lancaster, PA 17601-4700
Mailing address
160 N Pointe Blvd
Suite 113
Lancaster, PA 17601-4134
Phone (717) 569-4184
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9415781 | Other | PA | PHCS |
| 415471 | Other | PA | HEALTHAMERICA/ASSURANCE |
| 50057091 | Other | PA | BLUE CROSS AND KEYSTONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.44 of 100
- Quality
- 80
- Improvement activities
- 40
- Cost
- 74.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT000203A | PA | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster Contact Lens Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Lancaster, PA
- NPI 1821116005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1386683654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 N POINTE BLVD",
"address_2": "SUITE 113",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014134",
"telephone_number": "717-569-4184",
"fax_number": "717-569-4192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 EDEN RD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014700",
"telephone_number": "717-569-4184",
"fax_number": "717-569-4192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREVNA",
"first_name": "TIMOTHY",
"name_prefix": "Mr.",
"credential": "DPT,OCS,ATC,CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "PA",
"license": "RT000203A",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT003023L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9415781",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA/ASSURANCE",
"identifier": "415471",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND KEYSTONE",
"identifier": "50057091",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.