Joshua Port (NPI# 1104894229, PAC ID# 4284524133) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1104894229 |
| PAC ID by PECOS | 4284524133 |
| Professional Enrollment ID | I20100421000749 |
| Full Name | Joshua Port |
| Organization Legal Name | PROCARE PT LP |
| Address |
310 Penn St Suite 103 Hollidaysburg PA 16648-2044 |
| Phone Number | 8146952923 |
| Gender | M |
| Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 3476790767 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390062 | NASON MEDICAL CENTER, LLC |
| 390073 | UPMC ALTOONA |
| 391307 | TYRONE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 310 Penn St, Suite 103, Hollidaysburg, PA 16648-2044 | 8146952923 | PROCARE PT LP |
| 101 Regent Ct, State College, PA 16801-7965 | 8142312101 | UNIVERSITY ORTHOPEDICS CENTER, LTD |
| Organization Legal Name | PROCARE PT LP |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay Wagner | Qualified Speech Language Pathologist | Procare Pt Lp | 501 Valley View Blvd, Altoona, PA 16602-6410 |
| Michael Pacifico | Occupational Therapy | Procare Pt Lp | 7448 Woodbury Pike, Roaring Spring, PA 16673-1600 |
| Rebecca Hanna | Physical Therapy | Procare Pt Lp | 5459 E Pleasant Vly Blvd, Tyrone, PA 16686-8551 |
| Robert J Waibel | Physical Therapy | Procare Pt Lp | 310 Penn St, Suite 103, Hollidaysburg, PA 16648-2044 |
| Christina L Weaver | Qualified Speech Language Pathologist | Procare Pt Lp | 501 Valley View Blvd, Altoona, PA 16602-6410 |
| Dorothy Marie Witt | Physical Therapy | Procare Pt Lp | 501 Valley View Blvd, Altoona, PA 16602-6410 |
| Angela W Rowe | Orthopedic Surgery | Procare Pt Lp | 310 Penn St, Suite 103, Hollidaysburg, PA 16648-2044 |
| Joseph D Clark | Neurology | Procare Pt Lp | 310 Penn St, Suite 103, Hollidaysburg, PA 16648-2044 |
| William Tyndall | Orthopedic Surgery | Procare Pt Lp | 310 Penn St, Suite 103, Hollidaysburg, PA 16648-2044 |
| Thomas J Ellis | Orthopedic Surgery | Procare Pt Lp | 310 Penn St, Suite 103, Hollidaysburg, PA 16648-2044 |
| Street Address |
310 PENN ST SUITE 103 |
| City | HOLLIDAYSBURG |
| State | PA |
| Zip | 16648-2044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Waibel | Physical Therapy | Procare Pt Lp | 310 Penn St, Suite 103, Hollidaysburg, PA 16648-2044 |
| Angela W Rowe | Orthopedic Surgery | Procare Pt Lp | 310 Penn St, Suite 103, Hollidaysburg, PA 16648-2044 |
| Joseph D Clark | Neurology | Procare Pt Lp | 310 Penn St, Suite 103, Hollidaysburg, PA 16648-2044 |
| William Tyndall | Orthopedic Surgery | Procare Pt Lp | 310 Penn St, Suite 103, Hollidaysburg, PA 16648-2044 |
| Thomas J Ellis | Orthopedic Surgery | Procare Pt Lp | 310 Penn St, Suite 103, Hollidaysburg, PA 16648-2044 |
| Shawn C Saylor | Osteopathic Manipulative Medicine | Procare Pt Lp | 310 Penn St, Suite 103, Hollidaysburg, PA 16648-2044 |
| Stacey M Bowser | Family Medicine | Procare Pt Lp | 310 Penn St, Suite 103, Hollidaysburg, PA 16648-2044 |
| Navatha Bondalapati | Family Medicine | Procare Pt Lp | 310 Penn St, Suite 103, Hollidaysburg, PA 16648-2044 |
| Staci L Kephart | Physician Assistant | Procare Pt Lp | 310 Penn St, Suite 103, Hollidaysburg, PA 16648-2044 |
| David S Claar | Physician Assistant | Procare Pt Lp | 310 Penn St, Suite 103, Hollidaysburg, PA 16648-2044 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kiel Braeden Barkman | Chiropractic | 405 N Montgomery St, Hollidaysburg, PA 16648-1431 | |
| Wendy R Pehonsky | Chiropractic | 1705 N Juniata St, Hollidaysburg, PA 16648-1919 | |
| Dennis G Ridenour | Chiropractic | Dennis G Ridenour Dc PC | 1705 N Juniatat St, Hillidaysburg, PA 16648-1919 |
| Gregory C Sweeney | Family Medicine | 1800 N Juniata St, Hollidaysburg, PA 16648-1997 | |
| Pamela J. Root-baechle | Clinical Social Worker | 509 Allegheny St, Hollidaysburg, PA 16648-2012 | |
| Marcy Kay Rowland | Psychologist, Clinical | 509 Allegheny St, Hollidaysburg, PA 16648-2012 | |
| Dulin Wayne Clark | Psychologist, Clinical | 416 Allegheny St, Fl 1, Hollidaysburg, PA 16648-2026 | |
| Billie J Fletcher Haines | Clinical Social Worker | 516 Allegheny St, Suite 106, Hollidaysburg, PA 16648-2028 | |
| Jill Lynn Madden | Physician Assistant | Procare Pt Lp | 310 Penn St, Suite 103, Hollidaysburg, PA 16648-2044 |
| Kevin M Naugle | Physical Therapy | Procare Pt Lp | 310 Penn St, Suite 103, Hollidaysburg, PA 16648-2044 |
| Find all physicians in zip 16648 | |||
| City | HOLLIDAYSBURG |
| Zip Code | 16648 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | HOLLIDAYSBURG + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Joshua Port.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.