Individual provider Active NPI

Timothy Mazer, DPT

  • Physical Therapist
  • Altoona, PA
National Provider Identifier
1104888478
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015107 Issued in PA
Practice address
3200 Pleasant Valley Blvd
Altoona, PA 16602-4310
Phone
(814) 949-9500
Fax
(814) 949-9550
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015107 PA Primary

Addresses

Primary practice location

3200 Pleasant Valley Blvd
Altoona, PA 16602-4310

Mailing address

108 Aldrich Ave
Altoona, PA 16602-3202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015107PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Apr 1, 2004 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Apr 1, 2004 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3103 W Emaus Ave
Allentown, PA 18103
Phone (484) 387-1065

3120 Pleasant Valley Blvd
Altoona, PA 16602
Phone (814) 943-5041

3200 Pleasant Valley Blvd
Altoona, PA 16602
Phone (814) 949-9500

9613 Lincoln Hwy
Ste 107
Bedford, PA 15522
Phone (814) 623-1042

1680 Zion Rd
Bellefonte, PA 16823
Phone (814) 355-5660

2405 S Park Rd
Bethel Park, PA 15102
Phone (412) 730-3090

500 Plaza Dr
Clearfield, PA 16830
Phone (814) 762-8356

7452 Admiral Peary Hwy
Ste 3
Cresson, PA 16630
Phone (814) 408-2092

873 Beaver Dr
Dubois, PA 15801
Phone (814) 503-8361

4468 Buffalo Rd
Ste 7
Erie, PA 16510
Phone (814) 314-1175

7643 Lake Raystown Shopping Ctr
Huntingdon, PA 16652
Phone (814) 643-2476

152 E Market St
Ste 200
Lewistown, PA 17044
Phone (717) 242-4840

6299 Route 309
Ste 1F
New Tripoli, PA 18066
Phone (484) 387-1065

103 W Maple St
Philipsburg, PA 16866
Phone (814) 342-8304

1019 Ghaner Rd
Ste 200
Port Matilda, PA 16870
Phone (814) 954-7056

1464 N Main St
Ste 14
Punxsutawney, PA 15767
Phone (814) 618-5234

506 Marwalt Ln
Roaring Spring, PA 16673
Phone (814) 224-1370

5459 E Pleasant Valley Blvd
Tyrone, PA 16686
Phone (814) 682-7267

3722 Lehigh St
Ste 406
Whitehall, PA 18052
Phone (484) 387-1065

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1104888478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ALDRICH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166023202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PLEASANT VALLEY BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024310",
            "telephone_number": "814-949-9500",
            "fax_number": "814-949-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZER",
        "first_name": "TIMOTHY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.