Organization Active NPI

Oil Valley Physical Therapy Inc.

  • Physical Therapist
  • Titusville, PA
National Provider Identifier
1043392228
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jul 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Mark Mottillo, MPTNPI 1598766024
Title
Owner
Phone
(814) 827-0354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT007800L PA Primary

Addresses

Primary practice location

228 E Central Ave
Titusville, PA 16354-1893

Mailing address

228 E Central Ave
Titusville, PA 16354-1893
Phone (814) 827-0354

National Provider Directory

National Provider Directory

Locations

668 Elm St
Tionesta, PA 16353
Phone (814) 755-4032

228 E Central Ave
Titusville, PA 16354
Phone (814) 827-0354

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, PA

Sources for this page

  • 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.