Commonhealth Orthopedic Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT018772 Issued in PA

Legal business name

COMMONHEALTH ORTHOPEDIC PHYSICAL THERAPY

Practice address

337 W King St
East Berlin, PA 17316-9730

Phone

(717) 585-0510

NPI assigned

Nov 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Nathaniel G Creznic, D.P.TNPI 1144464447

Title

Doctor of Physical Therapy

Phone

(717) 585-0510

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

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

• Nathaniel Creznic, PT

  • Physical Therapist
  • Harrisburg, PA
  • NPI 1144464447
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1720365489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 SUNSET DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171123857",
            "telephone_number": "717-585-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 W KING ST",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173169730",
            "telephone_number": "717-585-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONHEALTH ORTHOPEDIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "CREZNIC",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "717-585-0510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT018772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad David Buohl, D.C.
• Lauren Michelle Cashman, M.D.
• Chad D. Buohl, PC
• Choice Critical Care RX LLC
• Lorena Diane Cockley, DDS
• Kari Cover, LPC
• Philip M Derienzo, PHARM D
• East Berlin Foot and Ankle Center, PC
• East Berlin Foot and Ankle Center,PC
• East Berlin RX LLC

• Physical Therapy Clinic/Center in East Berlin, PA
• Providers in East Berlin, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.