Healthcare Provider Details

I. General information

NPI: 1154214021
Provider Name (Legal Business Name): JOSHUA CONNOR PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 BIG SPRING RD
NEWVILLE PA
17241-9497
US

IV. Provider business mailing address

42 JAMESTOWN RD
SHIPPENSBURG PA
17257-9147
US

V. Phone/Fax

Practice location:
  • Phone: 717-776-8200
  • Fax:
Mailing address:
  • Phone: 717-331-6178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT021863
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT033452
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: