Organization Active NPI

Marshalls Creek Physical Therapy & Wellness, Inc.

  • Physical Therapist
  • East Stroudsburg, PA
National Provider Identifier
1215114012
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Feb 27, 2012

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.