Individual provider Active NPI

James Oliver Poepperling, DPT, L.AC.

  • Physical Therapist
  • Moosic, PA
National Provider Identifier
1700086188
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019002 Issued in PA
Practice address
73 Montage Mountain Road
Moosic, PA 18507-1850
Phone
(570) 703-0755
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AK000628 PA
Physical Therapist 225100000X PT019002 PA Primary

Addresses

Primary practice location

73 Montage Mountain Road
Moosic, PA 18507-1850

Mailing address

PO Box 73
Waverly, PA 18471-0073
Phone (570) 575-5443

Other identifiers 7

IdentifierTypeStateIssuer
1700086188OtherPAGHP
25-1645055OtherPAHUMANA/CHOICE CARE
3054587OtherPAUHC
7613896OtherPAAETNA-PPO
8332033OtherPAAETNA-HMO
822682OtherPAFPH
002009303OtherPABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140408001660 PA Practitioner - Physical Therapist in Private Practice 7214169143 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AK000628PAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Complementary Health Specialists Inc CurrentSince Nov 10, 2025 Accepting new patients

Locations

73 Montage Mountain Rd
Moosic, PA 18507
Phone (570) 343-7710

Organizations & group practices 1

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1700086188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73",
            "city": "WAVERLY",
            "state": "PA",
            "postal_code": "184710073",
            "telephone_number": "570-575-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 MONTAGE MOUNTAIN ROAD",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071850",
            "telephone_number": "570-703-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POEPPERLING",
        "first_name": "JAMES",
        "middle_name": "OLIVER",
        "credential": "DPT, L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK000628",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "1700086188",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA/CHOICE CARE",
            "identifier": "25-1645055",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "3054587",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-PPO",
            "identifier": "7613896",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO",
            "identifier": "8332033",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FPH",
            "identifier": "822682",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "002009303",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moosic, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.