Unknown Individual – Physical Therapist, NPI 1386609022

Unknown Individual is a healthcare provider. based in Middleburg, Pennsylvania. specializing in Physical Therapist. They hold a License No. DAPT000081 (PA). The NPI Number for Unknown Individual is 1386609022

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386609022
Phone
(570) 837-2123
Address
7 DOCK HILL RD
Deactivation Date
4 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5707582080
Graduation Year
1994 (32 years ago)
PAC ID
2466482807
Group Practice PAC ID
0244124212
Professional Enrollment ID
I20081205000137
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 7 DOCK HILL RD

    MIDDLEBURG, PA 178428910

    Phone: (570) 837-2123

    Fax: (570) 837-2185

    Type: Mailing

  • 4145 STATE ROUTE 147

    HERNDON, PA 178307311

    Phone: (570) 758-2080

    Fax: (570) 758-2081

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 17842)

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Provider's Procedures

Unknown Individual performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYPA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes60646

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244124212View full group profile

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1386609022 uniquely identifies Unknown Individual in U.S. healthcare data.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Middleburg, Pennsylvania. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.