Ellen Janette Goodheer
Individual provider Active NPI Physical Therapy Assistant · Muncy, PA
NPI 1255786232 · NPPES record last updated May 4, 2016
Key facts
- NPI
- 1255786232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TE101880 (PA)
- Practice address
- 215 E Water St
Muncy, PA 17756-8828 - Phone
- (570) 546-8282
- NPI assigned
- Apr 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE101880 | PA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE101880 | PA | Yes |
Addresses
Primary practice location
215 E Water St
Muncy, PA 17756-8828
Mailing address
1400 Campbell St
Williamsport, PA 17701-3043
Phone (717) 636-2315
Other providers in Muncy, PA
- Michelle Antionette Gavitt
- Geisinger Medical Center
- Geisinger Medical Center Muncy
- Geisinger Pharmacy, LLC
- Geisinger-HM Joint Venture LLC
- Gerald William Gray Jr Jr.
- Daniel Hampton
- Timothy Claire Hampton II
- Hamptons Chiropractic Inc
- Harter'S Drug Store
All providers in Muncy, PA · Physical Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2016. 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.