Organization Active NPI

Go Sport Physical Therapy Inc

  • Physical Therapist
  • Gettysburg, PA
National Provider Identifier
1891753752
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GO SPORT PHYSICAL THERAPY INC
Practice address
16C Deatrick Dr
Gettysburg, PA 17325-6958
Phone
(717) 337-3300
Fax
(717) 337-2977
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Jonathan Scott Lewis, DPTNPI 1427011436
Title
President
Phone
(717) 337-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

16C Deatrick Dr
Gettysburg, PA 17325-6958

Mailing address

16C Deatrick Dr
Gettysburg, PA 17325-6958
Phone (717) 337-3300

Other identifiers 11

IdentifierTypeStateIssuer
1523358OtherPAGATEWAY GROUP #
646309OtherPAHIGHMARK BS GROUP #
LP83OtherMDCAREFIRST GROUP #
T709OtherMDNAT'L CAP CARE GROUP#
02442200OtherPACAPITAL BC GROUP PROV #
131854OtherPAMEDPLUS GROUP #
20021541OtherPAAMERIHEALTH MERCY GRP#
206108OtherPAHEALTH AMER/ASSUR GRP#
364765200OtherPAUS DEPT OF LABOR GRP#
0019322220006MedicaidPA
2119160OtherPAAETNA GROUP PROV #

National Provider Directory

National Provider Directory

Locations

3101 Biglerville Rd
Biglerville, PA 17307
Phone (717) 677-0300

705 Old Harrisburg Rd
Ste 4
Gettysburg, PA 17325
Phone (717) 337-3300

16 Deatrick Dr
Apt C
Gettysburg, PA 17325
Phone (717) 337-3300

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1891753752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16C DEATRICK DR",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173256958",
            "telephone_number": "717-337-3300",
            "fax_number": "717-337-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16C DEATRICK DR",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173256958",
            "telephone_number": "717-337-3300",
            "fax_number": "717-337-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO SPORT PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-337-3300",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY GROUP #",
            "identifier": "1523358",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS GROUP #",
            "identifier": "646309",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST GROUP #",
            "identifier": "LP83",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAT'L CAP CARE GROUP#",
            "identifier": "T709",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC GROUP PROV #",
            "identifier": "02442200",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS GROUP #",
            "identifier": "131854",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY GRP#",
            "identifier": "20021541",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMER/ASSUR GRP#",
            "identifier": "206108",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR GRP#",
            "identifier": "364765200",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019322220006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP PROV #",
            "identifier": "2119160",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.