Organization Active NPI

Lycoming Physical Medicine

  • Durable Medical Equipment & Medical Supplies
  • Lemoyne, PA
National Provider Identifier
1124406426
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
MD045007L Issued in PA
Legal business name
LYCOMING PHYSICAL MEDICINE
Practice address
2 Lemoyne Dr
Ste 203
Lemoyne, PA 17043-1222
Phone
(717) 763-1222
NPI assigned
May 7, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Mark Allen Hampton, D.C.
Title
Ceo
Phone
(570) 326-0400

National Provider Directory

National Provider Directory

Locations

2 Lemoyne Dr
Ste 203
Lemoyne, PA 17043
Phone (570) 772-8935

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MD045007L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

2 Lemoyne Dr
Ste 203
Lemoyne, PA 17043-1222

Mailing address

1111 E 3Rd St
Williamsport, PA 17701-5411
Phone (570) 326-0400

Other names 1

NPPES NPI Registry
  • Lycoming Physical Medicine Lemoyne DME Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 8, 2015.

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1124406426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E 3RD ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015411",
            "telephone_number": "570-326-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LEMOYNE DR",
            "address_2": "STE 203",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431222",
            "telephone_number": "717-763-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYCOMING PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-326-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "MD045007L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lycoming Physical Medicine Lemoyne DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lemoyne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.