Mary Pranckus, PT ASSISTANT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

446 Issued in CT

Practice address

600 S Broad St
Kennett Square, PA 19348-3346

Phone

(855) 497-6449

NPI assigned

Feb 5, 2012

Last updated

Feb 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1328400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328400000000",
    "number": "1134491251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HANDEL RD",
            "city": "STAFFORD SPRINGS",
            "state": "CT",
            "postal_code": "060764032",
            "telephone_number": "860-875-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S BROAD ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483346",
            "telephone_number": "855-497-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRANCKUS",
        "first_name": "MARY",
        "credential": "PT ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-05",
        "last_updated": "2012-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thien-My Pham
• Physiotherapy Associates Inc (Physiotherapy Associates)
• Christine Anne Poppe, CRNP GNP-BC
• Tracy Pouncie
• Darlene Vanessa Powell-Griffith, CCC-SLP
• Erica Esmeralda Prater, MOTR
• Premier Orthopaedic and Sports Medicine Associates, LTD
• Premier Urgent Care at Kennett Square, LLC
• Ashley Suzanne Preston, OTR/L
• Craig Prince, R.PH.

• Physical Therapy Assistant in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2012; 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.