Individual provider Active NPI

Andrew Babcanec, DPT

  • Physical Therapist
  • Carbondale, PA
National Provider Identifier
1770977837
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT024022 Issued in PA
Practice address
82 N Main St
Suite 1
Carbondale, PA 18407-1914
Phone
(570) 282-0200
Fax
(570) 282-2229
NPI assigned
Mar 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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 PT024022 PA Primary

Addresses

Primary practice location

82 N Main St
Suite 1
Carbondale, PA 18407-1914

Mailing address

824 McAlpine St
Suite 5
Avoca, PA 18641-1104
Phone (570) 842-9323

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150427001161 PA Practitioner - Physical Therapist in Private Practice 6305165291 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT024022PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Hospital CurrentSince Apr 29, 2022 Accepting new patients
Lehigh Valley Hospital Physical Therapist CurrentSince Apr 29, 2022 Accepting new patients
Impact Physio Physical Therapist CurrentSince Oct 14, 2019 Accepting new patients

Locations

707 Hamilton St
Fl 4
Allentown, PA 18101
Phone (484) 862-3001

700 Hawk Ridge Dr
Hamburg, PA 19526
Phone (610) 562-0170

239 Northern Blvd
Ste 5
South Abington Township, PA 18411
Phone (570) 319-6903

Organizations & group practices 3

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1770977837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 MCALPINE ST",
            "address_2": "SUITE 5",
            "city": "AVOCA",
            "state": "PA",
            "postal_code": "186411104",
            "telephone_number": "570-842-9323",
            "fax_number": "570-842-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 N MAIN ST",
            "address_2": "SUITE 1",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071914",
            "telephone_number": "570-282-0200",
            "fax_number": "570-282-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCANEC",
        "first_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.