Individual provider Active NPI

Edward A St. Clair, PT

  • Physical Therapist
  • Franklin, PA
National Provider Identifier
1669409777
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012340L Issued in PA
Practice address
571 Pone LN
Franklin, PA 16323-3553
Phone
(724) 458-5850
Fax
(724) 458-4402
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 PT012340L PA Primary

Addresses

Primary practice location

571 Pone LN
Franklin, PA 16323-3553

Mailing address

571 Pone LN
Franklin, PA 16323-3553
Phone (814) 437-6191

Other practice location 1

3233 SR 257 Ste 3
Seneca, PA 16346-2439
Phone (814) 493-8631

Other identifiers 2

IdentifierTypeStateIssuer
017834720001MedicaidPA
000782859OtherPAHIGHMARK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051228000693 PA Practitioner - Physical Therapist in Private Practice 7315969771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Park Rehab LLCGroup PAC ID 2860660099, 7 clinicians

Practice addresses (Care Compare)

571 Pone LN
Franklin, PA 16323-3553
Phone (814) 437-6191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT012340LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
West Park Rehab LLC Physical Therapist CurrentSince Jul 1, 2017 Accepting new patients
Northwestern Physical Therapy Service, Inc. Physical Therapist PastSince Nov 13, 2010 Accepting new patients
Anderson Physical Therapy Etc PC Physical Therapist PastSince Feb 17, 2014 Accepting new patients

Locations

3233 State Route 257
Ste 3
Seneca, PA 16346
Phone (814) 493-8631

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669409777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 PONE LN",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163233553",
            "telephone_number": "814-437-6191",
            "fax_number": "814-437-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 PONE LN",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163233553",
            "telephone_number": "724-458-5850",
            "fax_number": "724-458-4402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3233 SR 257 Ste 3",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "PA",
            "postal_code": "163462439",
            "country_code": "US",
            "telephone_number": "814-493-8631",
            "fax_number": "814-493-8629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. CLAIR",
        "first_name": "EDWARD",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT012340L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017834720001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "000782859",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.