Active NPI
Maria Rachelle Canchela, P.T.
- Physical Therapist
- Bangor, PA
National Provider Identifier
1013262864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT021939
- Practice address
- 225 Erdman St
Bangor, PA 18013-2043 - Phone
- (610) 588-2225
- NPI assigned
- Jul 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT021939 | PA | Primary |
Addresses
Primary practice location
225 Erdman St
Bangor, PA 18013-2043
Mailing address
225 Erdman St
Bangor, PA 18013-2043
Phone (610) 588-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1013262864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 ERDMAN ST",
"city": "BANGOR",
"state": "PA",
"postal_code": "180132043",
"telephone_number": "610-588-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 ERDMAN ST",
"city": "BANGOR",
"state": "PA",
"postal_code": "180132043",
"telephone_number": "610-588-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANCHELA",
"first_name": "MARIA",
"middle_name": "RACHELLE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT021939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.