Active NPI
John Stephen Foster, PT
- Physical Therapist
- Danville, PA
National Provider Identifier
1912074261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT003028L
- Practice address
- 11 Northumberland Street
Danville, PA 17821 - Phone
- (570) 275-4715
- Fax
- (570) 275-4695
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 | PT003028L | PA | Primary |
Addresses
Primary practice location
11 Northumberland Street
Danville, PA 17821
Mailing address
430 Innovation Drive
Blairsville, PA 15717-8096
Phone (724) 343-4060
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 457595 | Other | PA | HEALTH AMER. - HEALTH AS. |
| 50064079 | Other | PA | CAPITAL-KHPC |
| FO1914737 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170309001969 | PA | Practitioner - Physical Therapist in Private Practice | 3779867866 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT003028L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shipe Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
309 N 5th St
Ste E
Sunbury, PA 17801
Phone (570) 286-7462
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Sunbury, PA
- NPI 1760158562
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1912074261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 INNOVATION DRIVE",
"city": "BLAIRSVILLE",
"state": "PA",
"postal_code": "157178096",
"telephone_number": "724-343-4060",
"fax_number": "724-343-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 NORTHUMBERLAND STREET",
"city": "DANVILLE",
"state": "PA",
"postal_code": "17821",
"telephone_number": "570-275-4715",
"fax_number": "570-275-4695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "JOHN",
"middle_name": "STEPHEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT003028L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMER. - HEALTH AS.",
"identifier": "457595",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL-KHPC",
"identifier": "50064079",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "FO1914737",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.