Active NPI
Wayne Lester Johns, PT
- Physical Therapist
- Shoemakersville, PA
National Provider Identifier
1578523544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT000260-E
- Practice address
- 800 Shoemaker Ave
Shoemakersville, PA 19555-1635 - Phone
- (610) 562-0437
- Fax
- (610) 562-0522
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | PT000260-E | PA | Primary |
Addresses
Primary practice location
800 Shoemaker Ave
Shoemakersville, PA 19555-1635
Mailing address
1550 W Leesport Rd
Leesport, PA 19533-9311
Phone (610) 926-2634
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT000260-E | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B&W Physical Therapy & Associates | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Shoemakersville, PA
- NPI 1104824937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345075200000",
"number": "1578523544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 W LEESPORT RD",
"city": "LEESPORT",
"state": "PA",
"postal_code": "195339311",
"telephone_number": "610-926-2634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SHOEMAKER AVE",
"city": "SHOEMAKERSVILLE",
"state": "PA",
"postal_code": "195551635",
"telephone_number": "610-562-0437",
"fax_number": "610-562-0522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNS",
"first_name": "WAYNE",
"middle_name": "LESTER",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2012-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT000260-E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shoemakersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.