Active NPI
Gabrielle Lanzendorfer
- Physical Therapist
- East Freedom, PA
National Provider Identifier
1336595560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT025236
- Practice address
- 1947 Polecat Rd
East Freedom, PA 16637-8630 - Phone
- (814) 381-6373
- NPI assigned
- May 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT 005754 | PA | |
| Physical Therapist | 225100000X | PT025236 | PA | Primary |
Addresses
Primary practice location
1947 Polecat Rd
East Freedom, PA 16637-8630
Mailing address
1947 Polecat Road
East Freedom, PA 16637
Phone (814) 381-6373
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 |
|---|---|---|---|
| PT025236 | PA | MD | Physical Therapist |
| RT 005754 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1336595560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1947 POLECAT ROAD",
"city": "EAST FREEDOM",
"state": "PA",
"postal_code": "16637",
"telephone_number": "814-381-6373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1947 POLECAT RD",
"city": "EAST FREEDOM",
"state": "PA",
"postal_code": "166378630",
"telephone_number": "814-381-6373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANZENDORFER",
"first_name": "GABRIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT 005754",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT025236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Freedom, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.