Active NPI
James M Minella, PT
- Physical Therapist
- Old Forge, PA
National Provider Identifier
1295880326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013533L
- Practice address
- 12 Oakwood Dr
Old Forge, PA 18518-1250 - Phone
- (570) 498-3546
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | PT013533L | PA | Primary |
Addresses
Primary practice location
12 Oakwood Dr
Old Forge, PA 18518-1250
Mailing address
12 Oakwood Dr
Old Forge, PA 18518-1250
Phone (570) 498-3546
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT013533L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Forest City, PA
- NPI 1679546113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1295880326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 OAKWOOD DR",
"city": "OLD FORGE",
"state": "PA",
"postal_code": "185181250",
"telephone_number": "570-498-3546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 OAKWOOD DR",
"city": "OLD FORGE",
"state": "PA",
"postal_code": "185181250",
"telephone_number": "570-498-3546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINELLA",
"first_name": "JAMES",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT013533L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Forge, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.