Provider Demographics
NPI:1023239688
Name:DIGRIS, JOEL JAMES (MSPT)
Entity type:Individual
Prefix:MR
First Name:JOEL
Middle Name:JAMES
Last Name:DIGRIS
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 WEST OAK ST.
Mailing Address - Street 2:
Mailing Address - City:FRACKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17931
Mailing Address - Country:US
Mailing Address - Phone:570-640-3321
Mailing Address - Fax:866-735-4585
Practice Address - Street 1:846 E WICONISCO AVE
Practice Address - Street 2:
Practice Address - City:TOWER CITY
Practice Address - State:PA
Practice Address - Zip Code:17980-1609
Practice Address - Country:US
Practice Address - Phone:570-640-3321
Practice Address - Fax:866-735-4585
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-011272-L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist