Individual provider Active NPI

Rayna Pfeil, PT, MSPT

  • Specialist
  • South Abington Township, PA
National Provider Identifier
1588050546
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT020289 Issued in PA
Practice address
100 Edella Rd
South Abington Township, PA 18411-1628
Phone
(570) 586-1002
NPI assigned
Apr 7, 2015
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT020289 PA Primary

Addresses

Primary practice location

100 Edella Rd
South Abington Township, PA 18411-1628

Mailing address

5 Jacquelyn LN
Dallas, PA 18612-9107
Phone (570) 255-4578

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210503002281 PA Practitioner - Physical Therapist in Private Practice 8820407893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elmtree Wellness Center IncGroup PAC ID 4486939022, 14 clinicians
Cip Rehabilitation IncGroup PAC ID 4789932104, 46 clinicians

Practice addresses (Care Compare)

2489 Route 6
Suite 6
Hawley, PA 18428-6144
Phone (570) 390-7900

64 Ridgway Dr
Suite 1
Dallas, PA 18612-9263
Phone (570) 255-4578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elmtree Wellness Center, Inc. CurrentSince Jan 26, 2026 Accepting new patients

Locations

2489 Route 6
Ste 6
Hawley, PA 18428
Phone (570) 218-7909

554 Hamlin Hwy
#2
Lake Ariel, PA 18436
Phone (570) 218-5405

Organizations & group practices 2

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1588050546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 JACQUELYN LN",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186129107",
            "telephone_number": "570-255-4578",
            "fax_number": "570-255-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EDELLA RD",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184111628",
            "telephone_number": "570-586-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIL",
        "first_name": "RAYNA",
        "name_prefix": "Mrs.",
        "credential": "PT, MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT020289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Abington Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.