Active NPI
Bruce Carleton Johns, P.T.
- Physical Therapist
- Orwigsburg, PA
National Provider Identifier
1407817315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT002285E
- Practice address
- 400 Pine Brook PL
Suite 2
Orwigsburg, PA 17961-2350 - Phone
- (570) 366-0300
- Fax
- (570) 366-3999
- NPI assigned
- Mar 30, 2006
- Last updated
- Aug 25, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT002285E | PA | Primary |
Addresses
Primary practice location
400 Pine Brook PL
Suite 2
Orwigsburg, PA 17961-2350
Mailing address
10 Linden Dr
Hamburg, PA 19526-8924
Phone (610) 562-0970
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1708772/01 | Medicaid | PA | |
| 03066900 | Other | PA | CAPITAL BLUE CROSS |
| 0017087720002 | Medicaid | PA | |
| 764150 | Other | PA | BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Physical Therapy | Physical Therapist | 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.
-
- Physical Therapist
- Orwigsburg, PA
- NPI 1952362840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314230400000",
"number": "1407817315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LINDEN DR",
"city": "HAMBURG",
"state": "PA",
"postal_code": "195268924",
"telephone_number": "610-562-0970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PINE BROOK PL",
"address_2": "SUITE 2",
"city": "ORWIGSBURG",
"state": "PA",
"postal_code": "179612350",
"telephone_number": "570-366-0300",
"fax_number": "570-366-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNS",
"first_name": "BRUCE",
"middle_name": "CARLETON",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2011-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT002285E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1708772/01",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "03066900",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017087720002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD",
"identifier": "764150",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orwigsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.