Active NPI
Mary Champi Nametko, P.T.
- Physical Therapist
- Hanover Township, PA
National Provider Identifier
1285885996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT005748L
- Practice address
- 1548 Sans Souci Pkwy
Hanover Township, PA 18706-6028 - Phone
- (570) 825-8725
- NPI assigned
- Oct 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT005748L | PA | Primary |
Addresses
Primary practice location
1548 Sans Souci Pkwy
Hanover Township, PA 18706-6028
Mailing address
135 Grove St
Exeter, PA 18643-1502
Phone (570) 655-5550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT005748L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222819200000",
"number": "1285885996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 GROVE ST",
"city": "EXETER",
"state": "PA",
"postal_code": "186431502",
"telephone_number": "570-655-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1548 SANS SOUCI PKWY",
"city": "HANOVER TOWNSHIP",
"state": "PA",
"postal_code": "187066028",
"telephone_number": "570-825-8725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAMETKO",
"first_name": "MARY",
"middle_name": "CHAMPI",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-01",
"last_updated": "2008-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT005748L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.