Mike D McComas, D.P.T.
Individual provider Active NPI Physical Therapist · Gilbertsville, PA
NPI 1245543263 · NPPES record last updated Sep 3, 2013
Key facts
- NPI
- 1245543263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT020747 (PA)
- Practice address
- 1806 Swamp Pike Ste 100
Gilbertsville, PA 19525-9307 - Phone
- (614) 032-7260
- NPI assigned
- Jul 19, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT020474 | PA | MD | Physical Medicine & Rehabilitation Physician |
| PT020747 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mishock Physical Therapy LP | Physical Therapist | Past | Accepting new patients |
| Mishock Physical Therapy & Associates, LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT020747 | PA | Yes |
Addresses
Primary practice location
1806 Swamp Pike Ste 100
Gilbertsville, PA 19525-9307
Mailing address
1806 Swamp Pike Ste 100
Gilbertsville, PA 19525-9307
Other providers in Gilbertsville, PA
- Jessica Ann Maher
- Gerald Manao
- Jennifer L Manning
- David Carmine Mazzola Jr.
- Hunter McClain
- Zoe Noelle McCord
- Ashley McGinley
- Diana Migliaccio
- Mishock Physical Therapy & Associates, LLC
- Mishock Physical Therapy LP
All providers in Gilbertsville, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.