Individual provider Active NPI

Julie M. Mazer, P.T.

  • Physical Therapist
  • Huntingdon, PA
National Provider Identifier
1194891002
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013134L Issued in PA
Practice address
7643 Lake Raystown Shopping Ctr
Huntingdon, PA 16652-8403
Phone
(814) 643-2476
Fax
(814) 643-6775
NPI assigned
Nov 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT013134L PA Primary

Addresses

Primary practice location

7643 Lake Raystown Shopping Ctr
Huntingdon, PA 16652-8403

Mailing address

7643 Lake Raystown Shopping Ctr
Huntingdon, PA 16652-8403
Phone (814) 643-2476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110411000342 PA Practitioner - Physical Therapist in Private Practice 5496939738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHM Physical Therapy Institute LLCGroup PAC ID 2062873151, 76 clinicians

Practice addresses (Care Compare)

1952 Waddle Rd
Suite 103
State College, PA 16803-1649
Phone (814) 413-0731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT013134LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LHM Physical Therapy Institute LLC Physical Therapist CurrentSince Mar 25, 2024 Accepting new patients
LHM Physical Therapy Institute LLC Physical Therapist CurrentSince Mar 25, 2024 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
LHM Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jan 1, 2012 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

9613 Lincoln Hwy
Ste 107
Bedford, PA 15522
Phone (814) 623-1042

4750 Lindle Rd
Ste 100
Harrisburg, PA 17111
Phone (717) 803-3342

7643 Lake Raystown Shopping Ctr
Huntingdon, PA 16652
Phone (814) 643-2476

1019 Ghaner Rd
Ste 200
Port Matilda, PA 16870
Phone (814) 954-7056

558 Shrewsbury Commons Ave
Shrewsbury, PA 17361
Phone (717) 803-3344

1952 Waddle Rd
Ste 103
State College, PA 16803
Phone (814) 413-0731

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1194891002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7643 LAKE RAYSTOWN SHOPPING CTR",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166528403",
            "telephone_number": "814-643-2476",
            "fax_number": "814-643-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7643 LAKE RAYSTOWN SHOPPING CTR",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166528403",
            "telephone_number": "814-643-2476",
            "fax_number": "814-643-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZER",
        "first_name": "JULIE",
        "middle_name": "M.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013134L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.