Organization Active NPI

Dennis R. Pronowicz,P.T.,Inc.

  • Physical Therapy Clinic/Center
  • South Hadley, MA
National Provider Identifier
1043405269
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1886 Issued in MA
Legal business name
DENNIS R. PRONOWICZ,P.T.,INC.
Practice address
138 College St
Ste.3
South Hadley, MA 01075-1415
Phone
(413) 532-9913
Fax
(413) 532-9054
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Mr. Dennis Robert Pronowicz, P.T.
Title
President
Phone
(413) 532-9913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1886 MA Primary

Addresses

Primary practice location

138 College St
Ste.3
South Hadley, MA 01075-1415

Mailing address

138 College St
Ste.3
South Hadley, MA 01075-1415
Phone (413) 532-9913

Other identifiers 1

IdentifierTypeStateIssuer
Y61070OtherMABLUE CROSS & BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1043405269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 COLLEGE ST",
            "address_2": "STE.3",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751415",
            "telephone_number": "413-532-9913",
            "fax_number": "413-532-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 COLLEGE ST",
            "address_2": "STE.3",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751415",
            "telephone_number": "413-532-9913",
            "fax_number": "413-532-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS R. PRONOWICZ,P.T.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "PRONOWICZ",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-532-9913",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "1886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "Y61070",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hadley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.