Easter Seals Western and Central Pennsylvania

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EASTER SEALS WESTERN AND CENTRAL PENNSYLVANIA

Doing business as

Easter Seals Western Pennsylvania

Practice address

232 Walnut St
Johnstown, PA 15901-2913

Phone

(814) 535-5508

Fax

(814) 536-4943

NPI assigned

Mar 28, 2007

Last updated

Mar 24, 2022By 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

James G Bennett

Title

Executive Vice President

Phone

(412) 281-7244

Specialties & licenses 7

Addresses

Other names 1

• Easter Seals Western Pennsylvania Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Easter Seals Central PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Easter Seals Western and Central Pennsylvania

  • Occupational Therapist
  • Altoona, PA
  • NPI 1851738363
  NPD tax ID

Practitioners 6

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.

• Sydney Black, AUD

  • Audiologist
  • Johnstown, PA
  • NPI 1013508506
  Medicare reassignment NPD
• Cynthia Ann Banda, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Johnstown, PA
  • NPI 1669593109
  NPD (past)
• Cheryl Beth Bifano, M.S., CCC-A, FAAA

  • Audiologist
  • Johnstown, PA
  • NPI 1437270121
  NPD (past)
• Claudine Marie Croyle, AU.D.

  • Audiologist
  • Johnstown, PA
  • NPI 1750347027
  NPD (past)
• Susan Brown Good, AU.D.

  • Audiologist
  • Johnstown, PA
  • NPI 1588728521
  NPD (past)
• Annette Shearman, MSCCCSLP

  • Speech-Language Pathologist
  • Johnstown, PA
  • NPI 1477687127
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1265551790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 WALNUT ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012913",
            "telephone_number": "814-535-5508",
            "fax_number": "814-536-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 WALNUT ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012913",
            "telephone_number": "814-535-5508",
            "fax_number": "814-536-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS WESTERN AND CENTRAL PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "412-281-7244"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "PA",
            "license": "401090",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "436050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easter Seals Western Pennsylvania",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Easter Seals Western Pennsylvania",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Joseph Duvall
• Patricia A Eagleson, CRNP
• Ear Nose and Throat Associates of Johnstown, Inc.
• Heidi Beth Earhart, NCC
• East Hills Ambulance, Inc
• Jamie Eckenrod, CRNP
• Tracey Ann Eckenrod, MSN CRNP
• Charlotte Ecklund
• Anusha Edara, M.D
• Edp of Pennsylvania PC

• Physical Therapist in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.