Individual provider Active NPI

John Mark Styborski, MPT

  • Physical Therapist
  • Corry, PA
National Provider Identifier
1497753180
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012820L Issued in PA
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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 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

IdentifierTypeStateIssuer
00026963101OtherPAUNIVERA
000915726OtherPAHIGHMARK
232242OtherPAHEALTHAMERICA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505000385 PA Practitioner - Physical Therapist in Private Practice 1153230727 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
012820LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Physical Therapy Etc PC Physical Therapist PastSince Apr 13, 1999 Accepting new patients
Gilmore Audiology LLC PastSince Apr 1, 2016 Accepting new patients
Excel Physical Therapy Physical Therapist PastSince Sep 8, 2025 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.

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

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.

Verify at the official NPI Registry.