Sosar Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SOSAR PHYSICAL THERAPY, LLC

Practice address

649 S Garfield Ave
Frackville, PA 17931-2427

Phone

(570) 874-2125

Fax

(570) 874-4019

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Regina A. Constantine

Title

Business Manager

Phone

(570) 874-2125

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023011186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 S GARFIELD AVE",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179312427",
            "telephone_number": "570-874-2125",
            "fax_number": "570-874-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 S GARFIELD AVE",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179312427",
            "telephone_number": "570-874-2125",
            "fax_number": "570-874-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOSAR PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONSTANTINE",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "570-874-2125"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "DA2003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "SO1425969",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS GROUP",
            "identifier": "02642000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Schuylkill Mall Dental
• Walter W Setlock, D.O.
• Catherine Shearn
• John D. Shorten Jr., RPH
• Matthew Smarkanic, PT
• Thomas M. Sosar, PT
• Jonathan Stemm
• Diana Tacelosky, M.D., PH.D.
• Bonnie Thomas, OTA
• Pamela Tomko, MSW,LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.