Active NPI
Bryan Leo Batkiewicz, PT
- Physical Therapist
- Waterford, PA
National Provider Identifier
1447469234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016807
- Practice address
- 991 Route 19 N Ste E
Waterford, PA 16441-9739 - Phone
- (814) 796-3400
- Fax
- (814) 796-8533
- NPI assigned
- May 21, 2007
- 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 | PT016807 | PA | Primary |
Addresses
Primary practice location
991 Route 19 N Ste E
Waterford, PA 16441-9739
Mailing address
991 Route 19 N Ste E
Waterford, PA 16441-9739
Phone (814) 796-3400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016807 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waterford Physical Therapy, Inc. | 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 and National Provider Directory roles.
-
- Physical Therapist
- Waterford, PA
- NPI 1770598419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303689600000",
"number": "1447469234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "991 ROUTE 19 N STE E",
"city": "WATERFORD",
"state": "PA",
"postal_code": "164419739",
"telephone_number": "814-796-3400",
"fax_number": "814-796-8533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "991 ROUTE 19 N STE E",
"city": "WATERFORD",
"state": "PA",
"postal_code": "164419739",
"telephone_number": "814-796-3400",
"fax_number": "814-796-8533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATKIEWICZ",
"first_name": "BRYAN",
"middle_name": "LEO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2011-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT016807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.