Individual provider Active NPI

Michael Anthony Rainis Jr., PT

  • Physical Therapist
  • Frackville, PA
National Provider Identifier
1629071790
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-015055 Issued in PA
Practice address
649 S Garfield Ave
Frackville, PA 17931-2427
Phone
(570) 874-2125
Fax
(570) 874-4019
NPI assigned
May 23, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 PT-015055 PA Primary

Addresses

Primary practice location

649 S Garfield Ave
Frackville, PA 17931-2427

Mailing address

649 S Garfield Ave
Frackville, PA 17931-2427
Phone (570) 874-2125

Other identifiers 3

IdentifierTypeStateIssuer
P00031425OtherPARAILROAD MEDICARE
50000092OtherPACAPITAL BLUE CROSS
RA1307249OtherPAPA BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110111000659 PA Practitioner - Physical Therapist in Private Practice 0547459216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1405 Penn Ave
Suite a
Wyomissing, PA 19610-2154
Phone (610) 396-9278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Physical Therapy Specialists LLC CurrentSince Aug 19, 2024 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients

Locations

649 S Garfield Ave
Frackville, PA 17931
Phone (570) 874-2125

5479 Pottsville Pike
Ste 200
Leesport, PA 19533
Phone (610) 926-6778

125 E Centre St
Ste 3
Shenandoah, PA 17976
Phone (570) 462-1015

1405 Penn Ave
Ste A
Wyomissing, PA 19610
Phone (610) 396-9278

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, 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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629071790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 S GARFIELD AVE",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179312427",
            "telephone_number": "570-874-2125",
            "fax_number": "570-874-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 S GARFIELD AVE",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179312427",
            "telephone_number": "570-874-2125",
            "fax_number": "570-874-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINIS",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-015055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00031425",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50000092",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "RA1307249",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frackville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.