Organization Active NPI

G3 Physical Therapy

  • Physical Therapy Clinic/Center
  • Hollidaysburg, PA
National Provider Identifier
1366092371
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
G3 PHYSICAL THERAPY
Practice address
225 Allegheny St Ste 3
Hollidaysburg, PA 16648-1849
Phone
(814) 931-5774
NPI assigned
Sep 12, 2019
Last updated
Jan 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Dr. Corey Patrick Gildea, DPT, ATCNPI 1790133098
Title
Owner/Physical Therapist
Phone
(814) 931-5774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

225 Allegheny St Ste 3
Hollidaysburg, PA 16648-1849

Mailing address

225 Allegheny St Ste 3
Hollidaysburg, PA 16648-1849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200220000885 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8527495126 Receives reassigned benefits from 2 practitioners
Practice locations: Hollidaysburg, PA

National Provider Directory

National Provider Directory

Locations

225 Allegheny St
Ste 103
Hollidaysburg, PA 16648
Phone (814) 317-5270

225 Allegheny St
Ste 3
Hollidaysburg, PA 16648
Phone (814) 931-5774

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1366092371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ALLEGHENY ST STE 3",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166481849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ALLEGHENY ST STE 3",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166481849",
            "telephone_number": "814-931-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G3 PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "GILDEA",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "814-931-5774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollidaysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.