Drayer Physical Therapy Institute LLC
Organization Active NPI Physical Therapist · Halifax, PA
NPI 1639400765 · NPPES record last updated Feb 20, 2012
Key facts
- NPI
- 1639400765
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- DRAYER PHYSICAL THERAPY INSTITUTE LLC
- Practice address
- 3771 Peters Mountain Rd
Halifax, PA 17032-8605 - Phone
- (717) 896-7612
- Fax
- (717) 896-7617
- NPI assigned
- Jan 29, 2010
- Organization subpart
- No
Authorized official
- Name
- Luke A Drayer
- Title
- Ceo
- Phone
- (717) 220-2100
Other NPIs on the same Medicare enrollment 48
Practitioners 2
-
Tamara L Bronson, PT
-
Brian M Klucinec, MSPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040126000110 | PA | Part B Supplier - Clinic/Group Practice | 8224948666 |
Receives reassigned benefits from 404 practitioners 48 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
3771 Peters Mountain Rd
Halifax, PA 17032-8605
Mailing address
3771 Peters Mountain Rd
Halifax, PA 17032-8605
Phone (717) 896-7612
Other providers in Halifax, PA
- Amanda M Cherney
- Chiropractor, Inc.
- Tobi Lee Coen
- Community Medical Associates
- Craig M. Match, O.D.
- Robert Alan Ettlinger
- Jennah Suzanne Fox
- Golden Angels Network
- Kelsi Graff
- Halifax Area Ambulance and Rescue Association, Inc.
All providers in Halifax, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.