James Stephen Washek, PT
Individual provider Active NPI Physical Therapist · Erie, PA
NPI 1902391584 · NPPES record last updated Oct 14, 2020
Key facts
- NPI
- 1902391584
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT028472 (PA)
- Practice address
- 4247 W Ridge Rd Ste 104
Erie, PA 16506-1746 - Phone
- (814) 833-7249
- Fax
- (814) 833-7249
- NPI assigned
- Jun 26, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allegheny Clinic
Practice addresses (Care Compare)
62 Greenbriar Dr
Suite 1
Leechburg, PA 15656-8209
Phone (724) 845-7765
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200526000695 | PA | Practitioner - Physical Therapist in Private Practice | 7113254160 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT028472 | PA | MD | Physical Therapist |
| PTL.0015735 | CO | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current |
Accepting new patients | |
| Allegheny Clinic | Current |
Accepting new patients | |
| Lake Hospital System, Inc | Past |
Accepting new patients | |
| Allegheny Clinic | Physical Therapist | Past |
Accepting new patients |
Locations
4950 Buffalo Rd
Ste 104
Erie, PA 16510
Phone (814) 899-7000
62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PTL.0015735 | CO | |
| Physical Therapist | 225100000X | PT028472 | PA | Yes |
Addresses
Primary practice location
4247 W Ridge Rd Ste 104
Erie, PA 16506-1746
Mailing address
4247 W Ridge Rd Ste 104
Erie, PA 16506-1746
Phone (814) 833-7249
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jwashek303514@direct.ahn.org |
Other providers in Erie, PA
- Sarah Lynn Warner
- Heron Faith Warren
- Rahul Warrier
- Amanda Washek
- Emily Starr Washek
- Robert Washek
- Rae Ann Wasiela
- Justyna Wasielewski
- Matthew David Wasielewski
- Laurel Wassell
All providers in Erie, 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 Oct 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.