Individual provider Active NPI

Edward John Wierzbicki, MPT

  • Physical Therapist
  • Harrisburg, PA
National Provider Identifier
1497710198
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009688L Issued in PA
Practice address
2850 Commerce Dr
Suite 100
Harrisburg, PA 17110-9383
Phone
(717) 541-4348
Fax
(717) 541-9576
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT009688L PA Primary
Physical Therapist 225100000X DAPT001214 PA

Addresses

Primary practice location

2850 Commerce Dr
Suite 100
Harrisburg, PA 17110-9383

Mailing address

4620 Abbington Drive
Harrisburg, PA 17109-1601
Phone (717) 540-0262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105000093 PA Practitioner - Physical Therapist in Private Practice 8628032778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access PT PennsylvaniaGroup PAC ID 6507214707, 15 clinicians

Practice addresses (Care Compare)

119 Aster Dr
Suite 103
Harrisburg, PA 17112-2742
Phone (717) 541-4348

290 E Pomfret St
Carlisle, PA 17013-2579
Phone (717) 229-0121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DAPT001214PAMDPhysical Therapist
PT009688LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Physical Therapist Inc Physical Therapist CurrentSince Sep 18, 2001 Accepting new patients
Access PT Pennsylvania Physical Therapist CurrentSince Sep 11, 2024 Accepting new patients
Access PT Pennsylvania Physical Therapist CurrentSince Sep 11, 2024 Accepting new patients

Locations

200 Lindell Blvd
Ste 923
Delray Beach, FL 33483
Phone (561) 278-6770

16 Maybrook Rd
Ste H
Campbell Hall, NY 10916

290 E Pomfret St
Carlisle, PA 17013
Phone (717) 229-0121

4300 Devonshire Rd
Ste 2
Harrisburg, PA 17109
Phone (717) 541-4348

119 Aster Dr
Ste 103
Harrisburg, PA 17112
Phone (717) 541-4348

2850 Commerce Dr
Ste 100
Harrisburg, PA 17110
Phone (717) 541-4348

4300 Devonshire Rd
Lower Paxton, PA 17109
Phone (717) 541-4348

Organizations & group practices 3

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1497710198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 ABBINGTON DRIVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171091601",
            "telephone_number": "717-540-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 COMMERCE DR",
            "address_2": "SUITE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109383",
            "telephone_number": "717-541-4348",
            "fax_number": "717-541-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERZBICKI",
        "first_name": "EDWARD",
        "middle_name": "JOHN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009688L",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT001214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.