Active NPI
Drew Warynovich, PTA
- Geriatric Physical Therapist
- Ebensburg, PA
National Provider Identifier
1427773704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 31996689
- Practice address
- 615 W High St
Ebensburg, PA 15931-1594 - Phone
- (814) 615-9020
- NPI assigned
- Oct 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 31996689 | PA | Primary |
Addresses
Primary practice location
615 W High St
Ebensburg, PA 15931-1594
Mailing address
1497 3Rd Street
Nanty Glo, PA 15943
Phone (814) 615-9020
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | drew | Health Information Exchange (HIE) | |
| SOAP URL | Soap | Health Information Exchange (HIE) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31996689 | PA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1427773704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1497 3RD STREET",
"city": "NANTY GLO",
"state": "PA",
"postal_code": "15943",
"telephone_number": "814-615-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 W HIGH ST",
"city": "EBENSBURG",
"state": "PA",
"postal_code": "159311594",
"telephone_number": "814-615-9020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARYNOVICH",
"first_name": "DREW",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-10",
"last_updated": "2022-10-10",
"certification_date": "2022-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Geriatrics",
"state": "PA",
"license": "31996689",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "drew",
"affiliation": "N",
"endpointDescription": "endpoint",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1497 3rd street",
"city": "nanty glo",
"state": "PA",
"country_code": "US",
"postal_code": "15943",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Soap",
"affiliation": "N",
"endpointDescription": "SOAP",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "615 W High St",
"city": "ebensburg",
"state": "PA",
"country_code": "US",
"postal_code": "159311594",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ebensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.