Eisenhofer Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EISENHOFER PHYSICAL THERAPY

Practice address

1001 James Dr Ste A14
Leesport, PA 19533-8867

Phone

(484) 408-4920

NPI assigned

May 3, 2021

Last updated

May 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin D Eisenhofer, DPTNPI 1649284977

Title

Owner

Phone

(484) 408-4920

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Justin D Eisenhofer, DPT, OCS, CSCS

  • Physical Therapist
  • Leesport, PA
  • NPI 1649284977
  NPD Authorized official

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1720661127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 ROOSEVELT AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059410",
            "telephone_number": "304-488-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 JAMES DR STE A14",
            "city": "LEESPORT",
            "state": "PA",
            "postal_code": "195338867",
            "telephone_number": "484-408-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISENHOFER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "EISENHOFER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-408-4920",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Earnshaw, CRNP
• Easy Does It, Inc.
• Tara Ebling, MA, CFY-SLP
• Vanessa Edwards, M.S., CFY-SLP
• Shannon Egan
• Justin D Eisenhofer, DPT, OCS, CSCS
• Every Body Pilates
• Kari Eyer, MA
• Kaitlin Faulcon
• Amy Faust

• Physical Therapy Clinic/Center in Leesport, PA
• Providers in Leesport, 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 May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.