Active NPI
William M. Koval, PT
- Physical Therapist
- Scranton, PA
National Provider Identifier
1811425929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019370
- Practice address
- 1101 Vine Street
Scranton, PA 18510 - Phone
- (570) 344-6177
- NPI assigned
- Jun 2, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT019370 | PA | Primary |
Addresses
Primary practice location
1101 Vine Street
Scranton, PA 18510
Mailing address
917 Ash Street
Moosic, PA 18507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT019370 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496361600000",
"number": "1811425929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 ASH STREET",
"city": "MOOSIC",
"state": "PA",
"postal_code": "18507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 VINE STREET",
"city": "SCRANTON",
"state": "PA",
"postal_code": "18510",
"telephone_number": "570-344-6177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVAL",
"first_name": "WILLIAM",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-02",
"last_updated": "2017-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT019370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.