Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Concussion Management Center of Central PA, LLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1891035937

Concussion Management Center of Central PA, LLC provides Sports Medicine (Family Medicine) Physician services in Roaring Spring, Pennsylvania. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Nason Dr Ste 104
Roaring Spring, PA 16673-1212 Not confirmed with CMS for 13 years — call before visiting
Phone: (814) 224-6096
Fax: (814) 224-6095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1891035937
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Baker — Physician · (814) 224-6096
NPI enumeratedFebruary 27, 2013
Last updated in NPPESFebruary 27, 2013
Mailing address111 Nason Dr, Suite 104, Roaring Spring, PA 16673-1212

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