Organization Active NPI

Tammy L Geibel

  • Physical Therapist
  • Greenville, PA
National Provider Identifier
1124604301
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TAMMY L GEIBEL
Doing business as
Momentum Therapeutics
Practice address
41 6TH Ave
Greenville, PA 16125-9723
Phone
(724) 588-3330
NPI assigned
Mar 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Dr. Tammy Lynn Geibel, DPT
Title
Owner
Phone
(724) 588-3330

Specialties & licenses 1

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

Addresses

Primary practice location

41 6TH Ave
Greenville, PA 16125-9723

Mailing address

41 6TH Ave
Greenville, PA 16125-9723
Phone (724) 588-3330

Other names 1

  • Momentum Therapeutics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201230000753 PA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3678986189 Practice locations: Greenville, PA

National Provider Directory

National Provider Directory

Locations

41 6th Ave
Greenville, PA 16125
Phone (724) 588-3330

NPI Registry JSON

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1124604301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 6TH AVE",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161259723",
            "telephone_number": "724-588-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 6TH AVE",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161259723",
            "telephone_number": "724-588-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMMY L GEIBEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "GEIBEL",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-588-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Momentum Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.