Active NPI
Marshalls Creek Physical Therapy & Wellness, Inc.
- Physical Therapist
- East Stroudsburg, PA
National Provider Identifier
1215114012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MARSHALLS CREEK PHYSICAL THERAPY & WELLNESS, INC.
- Practice address
- 26 Fox Run LN
East Stroudsburg, PA 18302-9121 - Phone
- (570) 223-8477
- Fax
- (570) 223-8487
- NPI assigned
- Jan 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth L. Todd
- Title
- Owner
- Phone
- (570) 994-3119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
26 Fox Run LN
East Stroudsburg, PA 18302-9121
Mailing address
PO Box 221
Reeders, PA 18352-0221
Phone (570) 223-8477
National Provider Directory
National Provider DirectoryLocations
239 Fox Run Ln
Ste 3
East Stroudsburg, PA 18302
Phone (570) 223-8477
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Tannersville, PA
- NPI 1720129091
-
- Physical Therapist
- Stroudsburg, PA
- NPI 1780725036
-
- Physical Therapist
- Matawan, NJ
- NPI 1376907212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330300800000",
"number": "1215114012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 221",
"city": "REEDERS",
"state": "PA",
"postal_code": "183520221",
"telephone_number": "570-223-8477",
"fax_number": "570-223-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 FOX RUN LN",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183029121",
"telephone_number": "570-223-8477",
"fax_number": "570-223-8487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARSHALLS CREEK PHYSICAL THERAPY & WELLNESS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-24",
"last_updated": "2012-02-27",
"status": "A",
"authorized_official_last_name": "TODD",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-994-3119",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.