Active NPI
Stephen Digiambattista, DPT
- Physical Therapist
- Moscow, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019831
- Practice address
- 330 N Main St
Moscow, PA 18444-9003 - Phone
- (570) 842-8191
- Fax
- (570) 842-8192
- NPI assigned
- Mar 9, 2009
- 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 | PT019831 | PA | Primary |
Addresses
Primary practice location
330 N Main St
Moscow, PA 18444-9003
Mailing address
24569 Route 6
Suite C
Towanda, PA 18848-8254
Phone (570) 265-1111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2101264 | Other | PA | FIRST PRIORITY LIFE INSURANCE |
| 824262 | Other | PA | FIRST PRIORITY HEALTH |
| 2101264 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
542 Boulevard Ave
Dickson City, PA 18519-1750
Phone (570) 489-5010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT019831 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pivot Physical Therapy of Pennsylvania, LLC | Physical Therapist | Current | Accepting new patients |
| Dynamic Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
Locations
328 Market St
Lewisburg, PA 17837
Phone (570) 768-4922
417 Grow Ave
Montrose, PA 18801
Phone (570) 278-1101
542 Boulevard Ave
Scranton, PA 18519
Phone (570) 489-4567
655 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2142
24569 Route 6
#C
Towanda, PA 18848
Phone (570) 265-1111
130 W Main St
Ste 100B
Trappe, PA 19426
Phone (484) 471-6850
Organizations & group practices 2
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 Therapist
- South Abington Township, PA
- NPI 1881132488
-
- Occupational Therapist
- Rehoboth Beach, DE
- NPI 1225637051
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1972744753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24569 ROUTE 6",
"address_2": "SUITE C",
"city": "TOWANDA",
"state": "PA",
"postal_code": "188488254",
"telephone_number": "570-265-1111",
"fax_number": "570-265-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 N MAIN ST",
"city": "MOSCOW",
"state": "PA",
"postal_code": "184449003",
"telephone_number": "570-842-8191",
"fax_number": "570-842-8192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIGIAMBATTISTA",
"first_name": "STEPHEN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-09",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT019831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY LIFE INSURANCE",
"identifier": "2101264",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "824262",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "2101264",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moscow, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.