Individual provider Active NPI

John Paul Eichmiller III, P.T.

  • Physical Therapist
  • Natrona Heights, PA
National Provider Identifier
1487782041
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007077L Issued in PA
Practice address
1620 Pacific Ave
Natrona Heights, PA 15065-2101
Phone
(724) 224-2166
Fax
(724) 224-3732
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT007077L PA Primary

Addresses

Primary practice location

1620 Pacific Ave
Natrona Heights, PA 15065-2101

Mailing address

1354 Logan Rd
Gibsonia, PA 15044-7719
Phone (724) 265-2939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170524002412 PA Practitioner - Physical Therapist in Private Practice 9537436423 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rehabilitation Systems, Inc. CurrentSince May 1, 2017 Accepting new patients
Keystone Rehabilitation Systems, Inc. CurrentSince May 1, 2017 Accepting new patients
Keystone Rehabilitation Systems, Inc. Current Accepting new patients

Locations

2614 Memorial Blvd
#A
Connellsville, PA 15425
Phone (724) 626-1071

725 Cherrington Pkwy
Ste 200
Moon Twp, PA 15108
Phone (412) 262-7800

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487782041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 LOGAN RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150447719",
            "telephone_number": "724-265-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 PACIFIC AVE",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652101",
            "telephone_number": "724-224-2166",
            "fax_number": "724-224-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHMILLER",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_suffix": "III",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT007077L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natrona Heights, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.