Active NPI
James Oliver Poepperling, DPT, L.AC.
- Physical Therapist
- Moosic, PA
National Provider Identifier
1700086188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019002
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700086188 | Other | PA | GHP |
| 25-1645055 | Other | PA | HUMANA/CHOICE CARE |
| 3054587 | Other | PA | UHC |
| 7613896 | Other | PA | AETNA-PPO |
| 8332033 | Other | PA | AETNA-HMO |
| 822682 | Other | PA | FPH |
| 002009303 | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AK000628 | PA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Complementary Health Specialists Inc | Current | 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.
-
dba Integrated Complementary Healthcare Specialists
- Physical Therapy Clinic/Center
- Moosic, PA
- NPI 1023658895
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.