Individual provider Active NPI

William Padoll, PT

  • Physical Therapist
  • Hanover, PA
National Provider Identifier
1528074887
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT027431 Issued in PA
Practice address
2201 Brunswick Dr Ste 2400
Hanover, PA 17331-8350
Phone
(223) 400-4477
Fax
(223) 400-4015
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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 PT027431 PA Primary

Addresses

Primary practice location

2201 Brunswick Dr Ste 2400
Hanover, PA 17331-8350

Mailing address

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 975-6402

Other identifiers 1

IdentifierTypeStateIssuer
GP1753MedicaidSC

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

LicenseStateTypeSpecialty
5255SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
PHS Physical Therapy, LLC Physical Therapist CurrentSince Nov 7, 2021 Accepting new patients
PHS Physical Therapy, LLC CurrentSince Nov 7, 2021 Accepting new patients
Rehabilitation Centers of Charleston, LLC Physical Therapist Past Accepting new patients

Locations

2201 Brunswick Dr
Ste 2400
Hanover, PA 17331
Phone (223) 400-4477

1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

6108 Carlisle Pike
#27041
Mechanicsburg, PA 17050
Phone (717) 591-9118

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1528074887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-975-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BRUNSWICK DR STE 2400",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173318350",
            "telephone_number": "223-400-4477",
            "fax_number": "223-400-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADOLL",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1753",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.