Organization Active NPI

Penn Central Physical Therapy, Inc.

  • Physical Therapist
  • Orbisonia, PA
National Provider Identifier
1194770677
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PENN CENTRAL PHYSICAL THERAPY, INC.
Practice address
626 Water Street
Orbisonia, PA 17243
Phone
(814) 447-5521
Fax
(814) 447-3966
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Mr. John M Puskarich, P.T.
Title
President
Phone
(814) 447-5521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

626 Water Street
Orbisonia, PA 17243

Mailing address

622 Water Street
Orbisonia, PA 17243
Phone (814) 447-5521

Other identifiers 3

IdentifierTypeStateIssuer
120318200OtherFEDERAL WORKERS COMP
PE895986OtherPABLUE SHIELD
0412OtherPABLUE CROSS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1194770677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 WATER STREET",
            "city": "ORBISONIA",
            "state": "PA",
            "postal_code": "17243",
            "telephone_number": "814-447-5521",
            "fax_number": "814-447-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 WATER STREET",
            "city": "ORBISONIA",
            "state": "PA",
            "postal_code": "17243",
            "telephone_number": "814-447-5521",
            "fax_number": "814-447-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN CENTRAL PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "PUSKARICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-447-5521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKERS COMP",
            "identifier": "120318200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "PE895986",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0412",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orbisonia, PA

Sources for this page

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