Individual provider Active NPI

Jeffrey Paone, MSPT

  • Physical Therapist
  • Hamlin, PA
National Provider Identifier
1790879815
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012427L Issued in PA
Practice address
410 Hamlin Highway
Suite a
Hamlin, PA 18427
Phone
(570) 689-3590
Fax
(570) 689-3591
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 PT012427L PA Primary

Addresses

Primary practice location

410 Hamlin Highway
Suite a
Hamlin, PA 18427

Mailing address

327 N Washington Ave
Suite 703
Scranton, PA 18503
Phone (570) 346-1570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160815000266 PA Practitioner - Physical Therapist in Private Practice 6507150554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 S Main St
Old Forge, PA 18518-1541
Phone (570) 457-4099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT012427LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Associates of Northeast Pennsylvania Inc Physical Therapist CurrentSince Jul 11, 2016 Accepting new patients
Sprint Center Inc Past Accepting new patients

Locations

1 Highlands Blvd
Ste 108
Archbald, PA 18403
Phone (570) 383-8841

501 Hamlin Hwy
Hamlin, PA 18427
Phone (570) 689-7786

501 S Main St
Old Forge, PA 18518
Phone (570) 457-4099

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790879815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 N WASHINGTON AVE",
            "address_2": "SUITE 703",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18503",
            "telephone_number": "570-346-1570",
            "fax_number": "570-346-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 HAMLIN HIGHWAY",
            "address_2": "SUITE A",
            "city": "HAMLIN",
            "state": "PA",
            "postal_code": "18427",
            "telephone_number": "570-689-3590",
            "fax_number": "570-689-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAONE",
        "first_name": "JEFFREY",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT012427L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamlin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.