Lemont Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT010739L Issued in PA

Legal business name

LEMONT PHYSICAL THERAPY, INC.

Practice address

2766 W College Ave
Suite 3
State College, PA 16801-2647

Phone

(814) 861-6608

Fax

(814) 861-6610

NPI assigned

Apr 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Flick, PT, CLT

Title

Owner-Position

Phone

(814) 861-6608

Specialties & licenses 1

Addresses

Other identifiers 9

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356568687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CENTENNIAL HILLS RD",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168708312",
            "telephone_number": "814-861-6608",
            "fax_number": "814-861-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 W COLLEGE AVE",
            "address_2": "SUITE 3",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012647",
            "telephone_number": "814-861-6608",
            "fax_number": "814-861-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMONT PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLICK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER-POSITION",
        "authorized_official_telephone_number": "814-861-6608",
        "authorized_official_credential": "PT, CLT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT010739L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "00719859",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "255448",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "255448",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA",
            "identifier": "255448",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTRAL PA TEAMSTERS",
            "identifier": "255448",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCAS  PENNSYLVANIA",
            "identifier": "50044205",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA  FREEDOM",
            "identifier": "255448",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50044205",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "92766",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria G Leahy, PA-C
• Lec Enterprises Pennsylvania LLC
• John William Leclair, D.M.D.
• Janel Lee
• Taryn Lemery
• Richard Scott Lenhart, PH.D.
• Michael Louis Lescanic, MD
• Jenna Lesueur, DPT
• Eva M Letwin, MA, M.ED.
• Kenneth Neil Levy, PH.D.

• Physical Therapy Clinic/Center in State College, PA
• Providers in State College, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.