NPIMap

Organization Active NPI

Achieva Rehabilitation LLC

  • Physical Therapist
  • Frackville, PA
National Provider Identifier
1689981573
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-011272-L Issued in PA
Legal business name
ACHIEVA REHABILITATION LLC
Practice address
1000 W Oak St
Frackville, PA 17931-1643
Phone
(570) 640-3321
NPI assigned
Sep 13, 2010
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Mr. Joel James Digris, MSPTNPI 1023239688
Title
Co-Owner
Phone
(570) 640-3321

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 Therapist 225100000X PT-011272-L PA Primary
Occupational Therapist 225X00000X OC-005720L PA

Addresses

Primary practice location

1000 W Oak St
Frackville, PA 17931-1643

Mailing address

1000 W Oak St
Frackville, PA 17931-1643
Phone (570) 640-3321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101109000918 PA Part B Supplier - Clinic/Group Practice 4284829805 Receives reassigned benefits from 14 practitioners
Practice locations: Frackville, PA

National Provider Directory

National Provider Directory

Locations

3377 Fox Run Rd
Dover, PA 17315
Phone (717) 767-4500

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1689981573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W OAK ST",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179311643",
            "telephone_number": "570-640-3321",
            "fax_number": "570-628-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W OAK ST",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179311643",
            "telephone_number": "570-640-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVA REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "DIGRIS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "570-640-3321",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-011272-L",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC-005720L",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Aug 27, 2024; 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.