Teresa Michele Longacre, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI001546 Issued in PA

Practice address

9627 Route 35
Mount Pleasant Mills, PA 17853-8409

Phone

(570) 539-4311

NPI assigned

Nov 7, 2022

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

Practice roles

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.

• Sun Orthopaedic Group

  • Durable Medical Equipment & Medical Supplies
  • Mifflinburg, PA
  • NPI 1891916094
  NPD (past)

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1154039402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 MILL RD",
            "city": "RICHFIELD",
            "state": "PA",
            "postal_code": "170869146",
            "telephone_number": "717-503-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9627 ROUTE 35",
            "city": "MOUNT PLEASANT MILLS",
            "state": "PA",
            "postal_code": "178538409",
            "telephone_number": "570-539-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGACRE",
        "first_name": "TERESA",
        "middle_name": "MICHELE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI001546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zebulin Jacob Bryner, LSW
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• Tara Alicia Paige
• Erica Rhoads, MS, LPC
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• Domenick Nicholas Ronco, DO
• Jason William Schlothauer, EMSVO

• All providers in Mount Pleasant Mills, PA
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.