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MR. JOHN ROY WAWRZYNIAK PT, ATC
NPI 1164727459
Physical Therapist - Orthopedic in Hershey, PA

Active since January 18, 2011
30 HOPE DR, MAIL CODE EC 130, HERSHEY, PA 17033(717) 531-4003(717) 531-4558 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. John Roy Wawrzyniak Pt, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN ROY WAWRZYNIAK PT, ATC (NPI 1164727459) is an individual orthopedic provider in Hershey, Pennsylvania, licensed in Pennsylvania (PT008208L) and active in the NPI registry since January 2011. He maintains a secondary practice location in Annville.

NPPES Registry Identity

NPI1164727459
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameMR. JOHN ROY WAWRZYNIAKCredential: PT, ATC
Location Address30 HOPE DR, MAIL CODE EC 130Hershey, PA 17033-2036
Mailing Address30 Hope Dr, P.o Box 859, Mail Code Ec 130Hershey, PA 17033-2036 · (717) 531-4003 · Fax (717) 531-4558
Phone(717) 531-4003
Fax(717) 531-4558
Sole ProprietorNo
Enumeration DateJanuary 18, 2011
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1164727459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in PA · PT008208L
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
30 HOPE DR, Hershey, PA 17033
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Secondary Practice Location 1

Location 1101 N College AveAnnville, PA 17003-1404 · Phone (717) 531-8070 · Fax (717) 531-0138

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John Roy Wawrzyniak Pt, Atc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show John Wawrzyniak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Milton S. Hershey Medical Center Physicians Group
Same address
Neurological Surgery
30 HOPE DR, SUITE 1200
Hershey, PA 17033
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,216 clinicians in this Medicare group
NPI 1245291053 (800) 243-1455

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JUSTIN TAYLOR LOWE
Physician Assistant
30 HOPE DR, SUITE 1300
HERSHEY, PA 17033
Dauphin County (717) 531-3828
DR. DAVID WILLIAM BARTON MD
Orthopaedic Surgery (Orthopaedic Trauma)
30 HOPE DR
HERSHEY, PA 17033
Dauphin County (717) 531-5638
EDWARD J FOX MD
Orthopaedic Surgery
30 HOPE DR, EC-089
HERSHEY, PA 17033
Dauphin County (800) 233-4082
CHUKWUWEIKE U GWAM
Orthopaedic Surgery
30 HOPE DR
HERSHEY, PA 17033
Dauphin County (800) 243-1455
BETHANY GRACE HAN CRNP
Nurse Practitioner
30 HOPE DR
HERSHEY, PA 17033
Dauphin County (717) 531-5638
TAMMY MARIE MILLER PA-C
Physician Assistant
30 HOPE DR, BUILDING B, SUITE 2400
HERSHEY, PA 17033
Dauphin County (717) 531-5638
MRS. TERESA ANN KALINAY PT
Physical Therapist
30 HOPE DR
HERSHEY, PA 17033
Dauphin County (800) 243-1455
ENYINNA L NWACHUKU M.D.
Neurological Surgery
30 HOPE DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Wawrzyniak's NPI number?

The NPI number for John Wawrzyniak is 1164727459. It was assigned to this individual provider in the NPPES registry on January 18, 2011.

Where is John Wawrzyniak located?

John Wawrzyniak practices at 30 Hope Dr Mail Code Ec 130, Hershey, PA 17033. The listed phone number is (717) 531-4003.

What is John Wawrzyniak's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is John Wawrzyniak enrolled in Medicare?

Yes. John Wawrzyniak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Wawrzyniak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Wawrzyniak reassigns Medicare benefits to The Milton S. Hershey Medical Center Physicians Group (Hershey, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Wawrzyniak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Wawrzyniak was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.