Individual provider Active NPI

Timothy Drevna, DPT,OCS,ATC,CSCS

  • Orthopedic Physical Therapist
  • Lancaster, PA
National Provider Identifier
1386683654
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT003023L Issued in PA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9415781OtherPAPHCS
415471OtherPAHEALTHAMERICA/ASSURANCE
50057091OtherPABLUE 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 Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.44 of 100Reported as group
Quality
80
Improvement activities
40
Cost
74.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RT000203APAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Contact Lens Inc PastSince Jun 12, 2022 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.

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.

Verify at the official NPI Registry.