NORTHEAST KNEE AND JOINT INSTITUTE, LLC.
NPI 1689187072
Physical Medicine & Rehabilitation in Dallas, PA

Active since November 08, 2017
3832 YALICK PLAZA ROUTE 415, UNIT 7, DALLAS, PA 18612(570) 213-5221(570) 227-3316 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2019, Aug 22, 2018, Jun 26, 2018 and 3 more (6 updates tracked since 2017).

About Northeast Knee And Joint Institute, Llc. NPPES

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

NORTHEAST KNEE AND JOINT INSTITUTE, LLC. (NPI 1689187072) is a healthcare organization registered as a physical medicine & rehabilitation in Dallas, Pennsylvania and active in the NPI registry since November 2017. The organization maintains a secondary practice location in Williamsport and lists Edwin Roman, Owner, as its authorized official.

NPPES Registry Identity

NPI1689187072
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameNORTHEAST KNEE AND JOINT INSTITUTE, LLC.
Location Address3832 YALICK PLAZA ROUTE 415, UNIT 7Dallas, PA 18612-7753
Mailing AddressPo Box 3367Williamsport, PA 17701-0367 · (570) 213-5221 · Fax (570) 227-3316
Fax(570) 227-3316
Organization SubpartNo
Authorized OfficialEdwin RomanOwner · (570) 213-5221
Enumeration DateNovember 8, 2017
Last NPPES UpdateJuly 15, 20196 updates tracked since enumeration
✔ NPI 1689187072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
3832 YALICK PLAZA ROUTE 415, Dallas, PA 18612

Secondary Practice Location 1

Location 1460 River AveWilliamsport, PA 17701-3723 · Phone (570) 213-5221

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Knee And Joint Institute, Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20180327002541DME · Physician - Physical and RehabilitationDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Northeast Knee And Joint Institute, LLC., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Physical Therapist in Private Practice
NPI 1336499615
603 E MARKET ST SUITE 100
Danville, PA 17821
(570) 275-4715
✔ Accepts Medicare34 mi
Internal Medicine
NPI 1326008780
10 SHADY LN SUITE 201
Muncy, PA 17756
(570) 546-2505
✔ PECOS✔ Accepts Medicare42 mi
Obstetrics/Gynecology
NPI 1538150560
780 BROAD ST
Montoursville, PA 17754
(570) 368-2870
✔ PECOS✔ Accepts Medicare49 mi
Nurse Practitioner
NPI 1578802864
460 RIVER AVE
Williamsport, PA 17701
(570) 213-5221
✔ PECOS52 mi
Family Practice
NPI 1417925496
955 BELLEFONTE AVE
Lock Haven, PA 17745
(570) 748-7714
✔ PECOS78 mi

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

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 Northeast Knee And Joint Institute, LLC.'s NPI number?

The NPI number for Northeast Knee And Joint Institute, LLC. is 1689187072. It was assigned to this organization in the NPPES registry on November 8, 2017.

Where is Northeast Knee And Joint Institute, LLC. located?

Northeast Knee And Joint Institute, LLC. is located at 3832 Yalick Plaza Route 415 Unit 7, Dallas, PA 18612. The listed phone number is (570) 213-5221.

What is Northeast Knee And Joint Institute, LLC.'s specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Northeast Knee And Joint Institute, LLC. enrolled in Medicare?

Yes. Northeast Knee And Joint Institute, LLC. is registered in the Medicare PECOS enrollment system.

When is Northeast Knee And Joint Institute, LLC.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Pennsylvania, Physician - Physical, Rehabilitation) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Northeast Knee And Joint Institute, LLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Northeast Knee And Joint Institute, LLC., in Family Practice, Internal Medicine, Nurse Practitioner, Obstetrics/Gynecology and Physical Therapist in Private Practice. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northeast Knee And Joint Institute, LLC. was last updated on July 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.