Individual provider Active NPI

Frank Seratch III, MPT

  • Physical Therapist
  • Hazleton, PA
National Provider Identifier
1730116096
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
DAPT000042 Issued in PA
Practice address
1751 E Broad St
Hazleton, PA 18201-5650
Phone
(570) 459-4559
Fax
(570) 459-4558
NPI assigned
Jun 26, 2006
Last updated
Dec 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X DAPT000042 PA Primary

Addresses

Primary practice location

1751 E Broad St
Hazleton, PA 18201-5650

Mailing address

1076 Valley of LKS
Hazleton, PA 18202-9385
Phone (570) 384-1162

Other identifiers 4

IdentifierTypeStateIssuer
2482564OtherPAAETNA
50016498OtherPACAPITAL BLUE CROSS
018933580002MedicaidPA
743930OtherPAHIGHMARK BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100819000009 PA Practitioner - Physical Therapist in Private Practice 1355327420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast PT Associates, Inc.Group PAC ID 2769372721, 3 clinicians

Practice addresses (Care Compare)

1751 E Broad St
Hazleton, PA 18201-5650
Phone (570) 459-4559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DAPT000042PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast PT Associates, Inc. Physical Therapist CurrentSince Oct 9, 1998 Accepting new patients
Carbon Foot and Ankle Centers PC Past Accepting new patients

Locations

1 W Broad St
Ste 2
Hazleton, PA 18201
Phone (570) 459-4559

1751 E Broad St
Hazleton, PA 18201
Phone (570) 455-2500

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/359009/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1730116096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 VALLEY OF LKS",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182029385",
            "telephone_number": "570-384-1162",
            "fax_number": "570-384-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015650",
            "telephone_number": "570-459-4559",
            "fax_number": "570-459-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERATCH",
        "first_name": "FRANK",
        "name_suffix": "III",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT000042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2482564",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50016498",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018933580002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "743930",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.