Core Physio LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CORE PHYSIO LLC

Practice address

152 Faith Cir
Boalsburg, PA 16827-1598

Phone

(814) 314-8880

NPI assigned

Nov 5, 2020

Last updated

Nov 5, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kyla Dunlavey, PT, MPTNPI 1619084795

Title

Owner/ Physical Therapist

Phone

(703) 801-3432

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyla L Dunlavey, PT, MPT, OCS

  • Physical Therapist
  • Boalsburg, PA
  • NPI 1619084795
  Medicare reassignment NPD Authorized official
• Candace R Good, MD

  • Psychiatry Physician
  • State College, PA
  • NPI 1144293770
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1255932323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 FAITH CIR",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168271598",
            "telephone_number": "703-801-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 FAITH CIR",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168271598",
            "telephone_number": "814-314-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PHYSIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "DUNLAVEY",
        "authorized_official_first_name": "KYLA",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "703-801-3432",
        "authorized_official_credential": "PT, MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abide Counseling LLC
• Scott Bauer, OD
• Centre Chiropractic PC
• Doulas of Central Pennsylvania
• Dr. Hanlen and Associates, LLC
• Kyla L Dunlavey, PT, MPT, OCS
• Emil R. Szabo MD PC
• Suzanne R. Fried, M.D.

• Physical Therapy Clinic/Center in Boalsburg, PA
• Providers in Boalsburg, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.