Boyle Associates Physical Therapy

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

BOYLE ASSOCIATES PHYSICAL THERAPY

Practice address

1201B N Church St
Suite 307
Hazle Township, PA 18202-1453

Phone

(570) 455-7108

Fax

(570) 455-8835

NPI assigned

Apr 8, 2006

Last updated

Jul 27, 2010By 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

Mr. Stanley T Petrick, MSPTNPI 1881650281

Title

Clinical Supervisor

Phone

(570) 455-7108

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Stanley T Petrick, MSPT

  • Physical Therapist
  • Hazle Township, PA
  • NPI 1881650281
  Authorized official Same address or phone
• Scott John Boyle, D.O.

  • Orthopaedic Surgery Physician
  • Hazle Township, PA
  • NPI 1245208826
  NPD (past)

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1306809611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201B N CHURCH ST",
            "address_2": "STE 307",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021453",
            "telephone_number": "570-455-7108",
            "fax_number": "570-455-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201B N CHURCH ST",
            "address_2": "SUITE 307",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021453",
            "telephone_number": "570-455-7108",
            "fax_number": "570-455-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYLE ASSOCIATES PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-08",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "PETRICK",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "570-455-7108",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50007032",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1908196",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Bartel, WHNP-BC,CRNP
• Carol M Bialobrzeski, CRNA
• Vincent J Bobby, DO
• Meghan Marie Boran, DPT
• Boscovs Department Store LLC (Boscov's Optical)
• Scott John Boyle, D.O.
• Sheri Lee Boyle, PT
• Anna R Brode, PA-C
• Margaret Brown, CRNP
• Jordan Taylor Buches, PA-C

• Physical Medicine & Rehabilitation Physician in Hazle Township, PA
• Providers in Hazle Township, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.