Active NPI
Joshua Wilkes, MPT
- Specialist
- Clarks Summit, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT022256
- Practice address
- 718 S. State Street
Clarks Summit, PA 18411-2607 - Phone
- (570) 586-2222
- NPI assigned
- Sep 12, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT022256 | PA | Primary |
Addresses
Primary practice location
718 S. State Street
Clarks Summit, PA 18411-2607
Mailing address
718 S. State Street
Clarks Summit, PA 18411-2607
Phone (570) 586-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT022256 | PA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pivot Physical Therapy of Pennsylvania, LLC | Current | Accepting new patients | |
| Dynamic Therapy Services, LLC | Past | Accepting new patients |
Locations
824 McAlpine St
Ste 5
Avoca, PA 18641
Phone (570) 471-7662
63 Dallas Village Shopping Ctr
Dallas, PA 18612
Phone (570) 310-1881
328 Market St
Lewisburg, PA 17837
Phone (570) 768-4922
417 Grow Ave
Montrose, PA 18801
Phone (570) 278-1101
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1992055446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 S. STATE STREET",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184112607",
"telephone_number": "570-586-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 S. STATE STREET",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184112607",
"telephone_number": "570-586-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKES",
"first_name": "JOSHUA",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-12",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "PT022256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.