Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Nason Pettengill, MSPT, CERTMDT

Individual provider Physical Therapist · NPI 1811090368

John Nason Pettengill, MSPT, CERTMDT is a Physical Therapist in Private Practice in State College, Pennsylvania. Qualified in 1986, 40 years ago. Accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
40
Licensed in
PA
In the registry since
2006
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Practice location Address checks out

434 W Aaron Dr SUITE104
State College, PA 16803-3074
Phone: (814) 235-9995
Fax: (814) 235-9616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT005964L (PA)

Record details

NPI number1811090368
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT , CERTMDT
Sole proprietorNo
NPI enumeratedSeptember 7, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in State College