Individual provider Active NPI

Bernard Johnathan Miklos Jr., DPT

  • Physical Therapist
  • Burnham, PA
National Provider Identifier
1528490232
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT022937 Issued in PA
Practice address
224 N Logan Blvd Ste 230
Burnham, PA 17009-1850
Phone
(717) 803-3342
NPI assigned
Aug 5, 2013
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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 PT022937 PA Primary

Addresses

Primary practice location

224 N Logan Blvd Ste 230
Burnham, PA 17009-1850

Mailing address

152 E Market St
Suite 200
Lewistown, PA 17044-2160
Phone (717) 242-4840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130910000537 PA Practitioner - Physical Therapist in Private Practice 7719121961 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1952 Waddle Rd
Suite 103
State College, PA 16803-1649
Phone (814) 413-0731

Merit-based Incentive Payment System (MIPS)

Final score
79.62 of 100Reported as group
Quality
76.03
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT022937PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LHM Physical Therapy Institute LLC Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Aug 2, 2013 Accepting new patients
LHM Physical Therapy Institute LLC Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Aug 2, 2013 Accepting new patients
University Orthopedics Center, LTD Physical Therapist CurrentSince Mar 17, 2021 Accepting new patients
LHM Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
University Orthopedics Center, LTD CurrentSince Mar 17, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

224 N Logan Blvd
Ste 230
Burnham, PA 17009
Phone (540) 751-1970

2836 Earlystown Rd
Ste 100
Centre Hall, PA 16828
Phone (814) 974-2934

4750 Lindle Rd
Ste 100
Harrisburg, PA 17111
Phone (717) 803-3342

8205 Presidents Dr
#2
Hummelstown, PA 17036
Phone (717) 803-2560

152 E Market St
Ste 200
Lewistown, PA 17044
Phone (717) 242-4840

558 Shrewsbury Commons Ave
Shrewsbury, PA 17361
Phone (717) 803-3344

101 Regent Ct
State College, PA 16801
Phone (814) 231-1504

1952 Waddle Rd
Ste 103
State College, PA 16803
Phone (814) 413-0731

Organizations & group practices 7

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": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1528490232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 E MARKET ST",
            "address_2": "SUITE 200",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170442160",
            "telephone_number": "717-242-4840",
            "fax_number": "717-242-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N LOGAN BLVD STE 230",
            "city": "BURNHAM",
            "state": "PA",
            "postal_code": "170091850",
            "telephone_number": "717-803-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKLOS",
        "first_name": "BERNARD",
        "middle_name": "JOHNATHAN",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnham, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.