Masters Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MASTERS PHYSICAL THERAPY, INC.

Practice address

407 N Center St
Corry, PA 16407-1203

Phone

(814) 663-7878

Fax

(814) 663-0661

NPI assigned

Mar 19, 2007

Last updated

Dec 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tracy A Styborski, MPTNPI 1376541052

Title

Owner

Phone

(814) 663-7878

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Masters Physical Therapy Former legal business name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Mark Styborski, MPT

  • Physical Therapist
  • Corry, PA
  • NPI 1497753180
  Medicare reassignment
• Tracy Ann Styborski, MPT

  • Physical Therapist
  • Corry, PA
  • NPI 1376541052
  Authorized official Same address or phone

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1043335391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N CENTER ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071203",
            "telephone_number": "814-663-7878",
            "fax_number": "814-663-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N CENTER ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071203",
            "telephone_number": "814-663-7878",
            "fax_number": "814-663-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "STYBORSKI",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-663-7878",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS GROUP",
            "identifier": "1443604",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "562309419",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Masters Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kurt E Lund, MD
• Thomas C Mack, D.C.
• Magnus Home Health, LLC
• Abby Jane Mailliard, MED
• Tanner Martin, DMD
• Patrick Lee Mathis, D.C.
• Jamie Mattswell
• Paul A McGeehan, M.D.
• Mead Avenue Family Practice, Inc.
• Medical Associates of Erie

• Physical Therapy Clinic/Center in Corry, PA
• Providers in Corry, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.