Mint Condition Physical Therapy & Wellness, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT006125L Issued in PA

Legal business name

MINT CONDITION PHYSICAL THERAPY & WELLNESS, LLC

Practice address

5 Hazelwood Cir
Plymouth Meeting, PA 19462-1039

Phone

(215) 269-6113

Fax

(215) 269-6115

NPI assigned

Dec 15, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Frank Jeffrey Shenko

Title

Owner

Phone

(215) 269-6113

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1144523036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HAZELWOOD CIR",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621039",
            "telephone_number": "215-269-6113",
            "fax_number": "215-269-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HAZELWOOD CIR",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621039",
            "telephone_number": "215-269-6113",
            "fax_number": "215-269-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT CONDITION PHYSICAL THERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "SHENKO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-269-6113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT006125L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Minger
• Dorothy Minick, LPN
• Marilyn Minnici
• Malika Minor
• Stacey Minotto
• Christine Mirabile
• Eric Miron, CRNP
• Sandra Mis
• Delphine Miser, LPN
• Amy Mishler

• Physical Therapy Clinic/Center in Plymouth Meeting, PA
• Providers in Plymouth Meeting, 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 Dec 15, 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.