Active NPI
Susquehanna Physical Therapy Associates, Inc.
Doing business as Susquehanna Physical Therapy
- Physical Therapy Clinic/Center
- Bloomsburg, PA
National Provider Identifier
1255373585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- SUSQUEHANNA PHYSICAL THERAPY ASSOCIATES, INC.
- Doing business as
- Susquehanna Physical Therapy
- Practice address
- 410 Glenn Ave
Bloomsburg, PA 17815-1200 - Phone
- (570) 387-2135
- Fax
- (570) 387-2288
- NPI assigned
- Jun 12, 2006
- 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. Dennis Fitzpatrick
- Title
- Chief Financial Officer
- Phone
- (610) 644-7824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
410 Glenn Ave
Bloomsburg, PA 17815-1200
Mailing address
665 Philadelphia St
Indiana, PA 15701-3941
Phone (724) 465-3496
Other names 1
- Susquehanna Physical Therapy
National Provider Directory
National Provider DirectoryLocations
410 Glen Ave
Bloomsburg, PA 17815
Phone (570) 416-1026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255373585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 PHILADELPHIA ST",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013941",
"telephone_number": "724-465-3496",
"fax_number": "724-465-3726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 GLENN AVE",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178151200",
"telephone_number": "570-387-2135",
"fax_number": "570-387-2288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSQUEHANNA PHYSICAL THERAPY ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FITZPATRICK",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "610-644-7824",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Susquehanna Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Corey Suraci
- Susquehanna Surgery Center Inc
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- Susquehanna Valley Medical Specialties
- Susquehanna Valley Medical Specialties, PC
- Susquehanna Valley Prosthetics & Orthotics, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.