Jack Eric Digwood, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

DAPT000907 Issued in PA

Practice address

182 Butler St
Wilkes Barre, PA 18702

Phone

(570) 970-0402

Fax

(570) 970-0403

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Spine and Sports Physical Therapy LPGroup PAC ID 0840664918, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elite Spine and Sports Physical Therapy LP

  • Physical Therapist
  • Wilkes Barre, PA
  • NPI 1932810819
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526083200000",
    "number": "1891720496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 BUTLER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187024465",
            "telephone_number": "570-970-0402",
            "fax_number": "570-907-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 BUTLER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "18702",
            "telephone_number": "570-970-0402",
            "fax_number": "570-970-0403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Welles St",
            "address_2": "Suite 166",
            "address_purpose": "LOCATION",
            "city": "Forty Fort",
            "state": "PA",
            "postal_code": "187044968",
            "country_code": "US",
            "telephone_number": "570-714-4171",
            "fax_number": "570-714-4188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIGWOOD",
        "first_name": "JACK",
        "middle_name": "ERIC",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT000907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesia Diaz
• Vanessa Diaz
• Austin E Dietz
• Gina Diferdinando
• Vincent John Digiovanni, MD
• Kristen Digwood
• Michael Dimaggio, PHARM.D
• Michael Dimare
• Nancy Jean Dines, CRNA
• Patrick J Dipaolo, MD

• Physical Therapist in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2018; 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.