Organization Active NPI

Mifflin-Juniata Special Needs Center, Inc.

  • Early Intervention Provider Agency
  • Lewistown, PA
National Provider Identifier
1003028291
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
MIFFLIN-JUNIATA SPECIAL NEEDS CENTER, INC.
Practice address
31 S Dorcas St
Suite a
Lewistown, PA 17044-2110
Phone
(717) 248-6261
Fax
(717) 248-6264
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Beth Eileen Zong
Title
Executive Director
Phone
(717) 248-6261

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

31 S Dorcas St
Suite a
Lewistown, PA 17044-2110

Mailing address

31 S Dorcas St
Suite a
Lewistown, PA 17044-2110
Phone (717) 248-6261

Other identifiers 2

IdentifierTypeStateIssuer
1000009610007MedicaidPA
1000009610015MedicaidPA

National Provider Directory

National Provider Directory

Locations

31 S Dorcas St
Ste A
Lewistown, PA 17044
Phone (717) 248-6261

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1003028291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S DORCAS ST",
            "address_2": "SUITE A",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170442110",
            "telephone_number": "717-248-6261",
            "fax_number": "717-248-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 S DORCAS ST",
            "address_2": "SUITE A",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170442110",
            "telephone_number": "717-248-6261",
            "fax_number": "717-248-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIFFLIN-JUNIATA SPECIAL NEEDS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "ZONG",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-248-6261"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000009610007",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000009610015",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.