Martin Theodore Prokop, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

210 Industrial Park Rd Ste 140
Johnstown, PA 15904-1948

Phone

(814) 534-7500

NPI assigned

Jul 13, 2021

Sex

Male

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pennsylvania in-Home Partner-I, LLC

  • Home Health Agency
  • Johnstown, PA
  • NPI 1831613520
  NPD

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1144892944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 OLD RIDGE RD",
            "city": "HOLLSOPPLE",
            "state": "PA",
            "postal_code": "159358515",
            "telephone_number": "724-636-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 INDUSTRIAL PARK RD STE 140",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041948",
            "telephone_number": "814-534-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROKOP",
        "first_name": "MARTIN",
        "middle_name": "THEODORE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Ray Pringle, BOCO
• Prodigy Dialysis
• Prodigy Dialysis
• Prodigy Dialysis LLC
• Professional Family Care Services, Inc.
• George Pueblitz, MD
• Stephanie Punchak, RN
• Pursel Dental P.C.
• Kevin M Pursel, D.M.D.
• Shannon J Pursel, D.M.D.

• Physical Therapist in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.