Penn Neuromuscular Diagnostics, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PENN NEUROMUSCULAR DIAGNOSTICS, LLC

Practice address

415 Napoleon PL
Johnstown, PA 15901-2504

Phone

(724) 801-8894

Fax

(724) 465-6032

NPI assigned

Feb 9, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Thomas W Zaucha

Title

Owner/President

Phone

(724) 801-8894

Specialties & licenses 1

Addresses

Other names 1

• PNDX Doing business as

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1134587884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N 7TH ST",
            "address_2": "2ND FLOOR, VICTORIA TOWNPLACE",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011880",
            "telephone_number": "724-801-8894",
            "fax_number": "724-465-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 NAPOLEON PL",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012504",
            "telephone_number": "724-801-8894",
            "fax_number": "724-465-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN NEUROMUSCULAR DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "ZAUCHA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "724-801-8894",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PNDX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adriana Dietz Pellegrini, DO
• Brandi L Penatzer, PA
• Stefani Penatzer, LPC
• Peniel Ministries
• Peniel Ministry
• Penn Neuromuscular Diagnostics, LLC
• Penn Neuromuscular Diagnotsics, LLC
• Pennsylvania CVS Pharmacy LLC
• Pennsylvania CVS Pharmacy LLC
• Pennsylvania in-Home Partner-I, LLC

• Physical Therapy Clinic/Center in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.