Organization Active NPI

Johns Physical Therapy

  • Physical Therapist
  • Orwigsburg, PA
National Provider Identifier
1952362840
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT002285E Issued in PA
Legal business name
JOHNS PHYSICAL THERAPY
Practice address
400 Pine Brook PL
Suite 2
Orwigsburg, PA 17961-2350
Phone
(570) 366-0300
Fax
(570) 366-3999
NPI assigned
Mar 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Bruce Carleton Johns, P.T.NPI 1407817315
Title
Owner
Phone
(570) 366-0300

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 PT002285E PA Primary

Addresses

Primary practice location

400 Pine Brook PL
Suite 2
Orwigsburg, PA 17961-2350

Mailing address

400 Pine Brook PL
Suite 2
Orwigsburg, PA 17961-2350
Phone (570) 366-0300

Other identifiers 3

IdentifierTypeStateIssuer
0017087720002MedicaidPA
1708772/01MedicaidPA
764150OtherPABLUESHIELD

National Provider Directory

National Provider Directory

Locations

400 Pine Brook Pl
Ste 2
Orwigsburg, PA 17961
Phone (570) 366-0300

Practitioners & affiliated clinicians

Practitioners 1

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": "1143676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1952362840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PINE BROOK PL",
            "address_2": "SUITE 2",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179612350",
            "telephone_number": "570-366-0300",
            "fax_number": "570-366-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PINE BROOK PL",
            "address_2": "SUITE 2",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179612350",
            "telephone_number": "570-366-0300",
            "fax_number": "570-366-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-30",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "CARLETON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-366-0300",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT002285E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017087720002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1708772/01",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "764150",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orwigsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.