OrganizationActive
Concussion Management Center of Central PA, LLC
NPI 1891035937 · Sports Medicine (Family Medicine) Physician · Roaring Spring, PA
Provider details
- NPI number
- 1891035937
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Baker, Physician(814) 224-6096
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Nason Dr
Suite 104
Roaring Spring, PA 16673-1212
Phone: (814) 224-6096
Fax: (814) 224-6095
Street-level locationGet directions
Mailing address
111 Nason Dr
Roaring Spring, PA 16673-1212
Registry dates
- Enumerated
- 2013-02-27
- Last updated
- 2013-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.