Active NPI
John Mark Styborski, MPT
- Physical Therapist
- Corry, PA
National Provider Identifier
1497753180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012820L
- Practice address
- 41 N Center St
Corry, PA 16407-1622 - Phone
- (814) 663-7878
- Fax
- (814) 663-0661
- NPI assigned
- Jul 7, 2005
- Last updated
- Jun 16, 2008
- 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 | 012820L | PA | Primary |
Addresses
Primary practice location
41 N Center St
Corry, PA 16407-1622
Mailing address
41 N Center St
Corry, PA 16407-1622
Phone (814) 663-7878
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00026963101 | Other | PA | UNIVERA |
| 000915726 | Other | PA | HIGHMARK |
| 232242 | Other | PA | HEALTHAMERICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
407 N Ctr St
Corry, PA 16407-1203
Phone (814) 663-7878
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012820L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Physical Therapy Etc PC | Physical Therapist | Past | Accepting new patients |
| Gilmore Audiology LLC | Past | Accepting new patients | |
| Excel Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Gonstead Family Chiropractic of Corry, Inc | Past | Accepting new patients |
Organizations & group practices 5
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 Therapy Clinic/Center
- Corry, PA
- NPI 1043335391
-
- Physical Therapist
- Seneca, PA
- NPI 1487647376
-
- Physical Therapist
- Seneca, PA
- NPI 1760773501
-
- Audiologist-Hearing Aid Fitter
- Franklin, PA
- NPI 1679933378
-
- Chiropractor
- Corry, PA
- NPI 1881926947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1497753180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 N CENTER ST",
"city": "CORRY",
"state": "PA",
"postal_code": "164071622",
"telephone_number": "814-663-7878",
"fax_number": "814-663-0661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 N CENTER ST",
"city": "CORRY",
"state": "PA",
"postal_code": "164071622",
"telephone_number": "814-663-7878",
"fax_number": "814-663-0661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STYBORSKI",
"first_name": "JOHN",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "012820L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00026963101",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "000915726",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA",
"identifier": "232242",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corry, PA
- Jonathan L Spaulding, DO
- St Vincent Medical Education and Research Institute Inc (Saint Vincent Medical Group of Corry)
- Rebecca Rose Steves, D.M.D.
- Karl E. Streilein, O.D., PHD.
- Rebekka Stull, PHARMD
- Tracy Ann Styborski, MPT
- Susan M Kaufman DO
- The After Chapter Inc
- Amber Lynn Trask, M.A.,CCC-SLP/L
- Robin Duell Vanderhoff, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.