Organization
GO SPORT PHYSICAL THERAPY INC
Active
Organization
GO SPORT PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SCOTT LEWIS DPT (PRESIDENT)
(717) 337-3300
Entity
Organization
Contact information
Practice address
16C DEATRICK DR, GETTYSBURG, PA 17325-6958
(717) 337-3300
(717) 337-2977
Mailing address
16C DEATRICK DR, GETTYSBURG, PA 17325-6958
(717) 337-3300
(717) 337-2977
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019322220006
—
PA
01
—
02442200
CAPITAL BC GROUP PROV #
PA
01
—
131854
MEDPLUS GROUP #
PA
01
—
1523358
GATEWAY GROUP #
PA
01
—
20021541
AMERIHEALTH MERCY GRP#
PA
01
—
206108
HEALTH AMER/ASSUR GRP#
PA
01
—
2119160
AETNA GROUP PROV #
PA
01
—
364765200
US DEPT OF LABOR GRP#
PA
01
—
646309
HIGHMARK BS GROUP #
PA
01
—
LP83
CAREFIRST GROUP #
MD
01
—
T709
NAT'L CAP CARE GROUP#
MD
Enumeration date
05/02/2006
Last updated
08/11/2009
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