Oil Valley Physical Therapy Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007800L Issued in PA

Legal business name

OIL VALLEY PHYSICAL THERAPY INC.

Practice address

228 E Central Ave
Titusville, PA 16354-1893

Phone

(814) 827-0354

Fax

(814) 827-0352

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Mark Mottillo, MPT

Title

Owner

Phone

(814) 827-0354

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1043392228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 E CENTRAL AVE",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541893",
            "telephone_number": "814-827-0354",
            "fax_number": "814-827-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 E CENTRAL AVE",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541893",
            "telephone_number": "814-827-0354",
            "fax_number": "814-827-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OIL VALLEY PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "MOTTILLO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-827-0354",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT007800L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "V0843B",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001608909",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHASSURANCE",
            "identifier": "3149343",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Penn Neuromuscular Diagnostics, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.