Active NPI
Jay M Witkowski, PT,CSCS
- Physical Therapist
- Newtown, PA
National Provider Identifier
1699894253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006460L
- Practice address
- 622 Durham Rd
Newtown, PA 18940-9618 - Phone
- (215) 598-0876
- Fax
- (215) 598-0344
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT006460L | PA | Primary |
Addresses
Primary practice location
622 Durham Rd
Newtown, PA 18940-9618
Mailing address
622 Durham Rd
Newtown, PA 18940-9618
Phone (215) 598-0876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WI739828 | Other | PA | HIGHMARK BLUESHIELD NUMBE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006460L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699894253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 DURHAM RD",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189409618",
"telephone_number": "215-598-0876",
"fax_number": "215-598-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 DURHAM RD",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189409618",
"telephone_number": "215-598-0876",
"fax_number": "215-598-0344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITKOWSKI",
"first_name": "JAY",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PT,CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT006460L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUESHIELD NUMBE",
"identifier": "WI739828",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.