Specialty Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPECIALTY PHYSICAL THERAPY LLC

Practice address

1062 Wyoming Ave
Wyoming, PA 18644-1331

Phone

(570) 991-1530

NPI assigned

Jan 27, 2020

Organization subpart

No

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

Authorized official

Name

Kimberly W Carpenter, DPTNPI 1902033475

Title

Owner

Phone

(570) 991-1530

Specialties & licenses 7

Addresses

Locations

Practitioners 4

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

• Kimberly Carpenter, DPT

  • Physical Therapist
  • Dallas, PA
  • NPI 1902033475
  NPD Authorized official
• Patrick Tyler Brown, PT, DPT

  • Physical Therapist
  • Wyoming, PA
  • NPI 1780282285
  NPD
• Melissa Anne McLaughlin, MSOTR/L

  • Occupational Therapist
  • Allentown, PA
  • NPI 1861426744
  NPD
• Amy Melissa Wiedlich, MSPT

  • Physical Therapist
  • Mountain Top, PA
  • NPI 1043523541
  NPD

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1013548379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 WYOMING AVE",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441331",
            "telephone_number": "570-991-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 WYOMING AVE",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441331",
            "telephone_number": "570-991-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-991-1530",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage 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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarinda A. Sciulara, O.T.R./L.
• Jennifer Shandra
• Patricia Ann Shemo, LMT
• David Stewart Smith, MS OTR/L
• Danielle Spagnuolo, M.S., CCC-SLP
• Allison Stallard, OTR-L
• Louise A Stark, REGISTERED NURSE
• Toni Jo Parmelee, D.O., PC
• Twardowski Counseling LLC
• Thomas Mark Twardowski, LCSW

• Physical Therapist in Wyoming, PA
• Providers in Wyoming, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.