John Arthur Blachek III, PHYSICAL THERAPIST
Individual provider Active NPI Physical Therapist · Lock Haven, PA
NPI 1801448261 · NPPES record last updated Jul 15, 2019
Key facts
- NPI
- 1801448261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT000660E (PA)
- Practice address
- 24 Cree Dr
Lock Haven, PA 17745-2639 - Phone
- (570) 893-5100
- NPI assigned
- Jul 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT000660E | PA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT000660E | PA | Yes |
Addresses
Primary practice location
24 Cree Dr
Lock Haven, PA 17745-2639
Mailing address
24 Cree Dr
Lock Haven, PA 17745-2639
Phone (570) 893-5100
Other providers in Lock Haven, PA
- Margaret Julia Beaton
- Jacob Thomas Bender
- Sharon Berger
- Samuel David Betz
- Prafulchandra U Bhatt
- Margaret Blasetti
- Sydney Bolles
- Alison A. Botek
- Michelle Jan Bower
- Samantha Love Bower
All providers in Lock Haven, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.