Tracy Ann Styborski, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012822L Issued in PA

Practice address

41 N Center St
Corry, PA 16407-1622

Phone

(814) 663-7878

Fax

(814) 663-0661

NPI assigned

Jul 7, 2005

Last updated

Mar 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Masters Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Corry, PA
  • NPI 1043335391
  Authorized official Same address or phone
• Gonstead Family Chiropractic of Corry, Inc

  • Chiropractor
  • Corry, PA
  • NPI 1881926947
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1376541052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N CENTER ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071203",
            "telephone_number": "814-663-7878",
            "fax_number": "814-663-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 N CENTER ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071622",
            "telephone_number": "814-663-7878",
            "fax_number": "814-663-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYBORSKI",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "012822L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001404683",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "0026990101",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA",
            "identifier": "2322242",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Vincent Medical Education and Research Institute Inc (Saint Vincent Medical Group of Corry)
• Rebecca Rose Steves, D.M.D.
• Karl E. Streilein, O.D., PHD.
• Rebekka Stull, PHARMD
• John Mark Styborski, MPT
• Susan M Kaufman DO
• The After Chapter Inc
• Amber Lynn Trask, M.A.,CCC-SLP/L
• Robin Duell Vanderhoff, RN
• Aalysa A Vannucci, BHS

• Physical Therapist in Corry, PA
• Providers in Corry, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.