NPIMap

Organization Active NPI

Comprehensive Physical Therapy, Inc

  • Physical Therapist
  • Forest City, PA
National Provider Identifier
1679546113
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COMPREHENSIVE PHYSICAL THERAPY, INC
Practice address
354 Main St
Forest City, PA 18421-1418
Phone
(570) 785-2018
Fax
(570) 785-2061
NPI assigned
Feb 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Mr. Stephen Atcavage, DPTNPI 1700858230
Title
Owner
Phone
(570) 785-2018

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

354 Main St
Forest City, PA 18421-1418

Mailing address

97 Beech Grove Rd
Honesdale, PA 18431-4164
Phone (570) 253-5615

Other practice location 1

19 Dundaff St
Carbondale, PA 18407-1828
Phone (570) 282-3302

Other practice location 2

103 Spruce St Ste 101
Hawley, PA 18428-1149
Phone (570) 226-7303

Other practice location 3

1000 Meade St Ste 208
Dunmore, PA 18512-3195
Phone (570) 342-5333

Other practice location 4

17 Beech Grove Rd
Honesdale, PA 18431-4164
Phone (570) 251-3499

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040804001486 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4981675709 Receives reassigned benefits from 20 practitioners
Practice locations: Dunmore, PA; Waymart, PA; Honesdale, PA; Forest City, PA; Carbondale, PA; Hawley, PA

National Provider Directory

National Provider Directory

Locations

150 Brooklyn St
Ste 2C
Carbondale, PA 18407
Phone (570) 282-3302

150 Brooklyn St
#2C
Carbondale, PA 18407
Phone (570) 282-3302

1000 Meade St
Ste 208
Dunmore, PA 18512
Phone (570) 342-5333

354 Main St
Forest City, PA 18421
Phone (570) 785-2018

103 Spruce St
#101
Hawley, PA 18428
Phone (570) 226-7303

186 Belmont Tpke
Waymart, PA 18472
Phone (570) 488-9999

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1679546113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 BEECH GROVE RD",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184314164",
            "telephone_number": "570-253-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 MAIN ST",
            "city": "FOREST CITY",
            "state": "PA",
            "postal_code": "184211418",
            "telephone_number": "570-785-2018",
            "fax_number": "570-785-2061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Dundaff St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "PA",
            "postal_code": "184071828",
            "country_code": "US",
            "telephone_number": "570-282-3302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Spruce St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hawley",
            "state": "PA",
            "postal_code": "184281149",
            "country_code": "US",
            "telephone_number": "570-226-7303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Meade St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Dunmore",
            "state": "PA",
            "postal_code": "185123195",
            "country_code": "US",
            "telephone_number": "570-342-5333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Beech Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Honesdale",
            "state": "PA",
            "postal_code": "184314164",
            "country_code": "US",
            "telephone_number": "570-251-3499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "ATCAVAGE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-785-2018",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.