Active NPI
Family Physical Therapy
- Physical Therapist
- Warren, PA
National Provider Identifier
1407072473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT005465L
- Legal business name
- FAMILY PHYSICAL THERAPY
- Practice address
- 218 Liberty St
Warren, PA 16365 - Phone
- (814) 726-3574
- Fax
- (814) 726-3583
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Matthew Wozneak, PHYSICAL THERAPIST
- Title
- Owner Operator Physical Therapist
- Phone
- (814) 726-3574
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT005465L | PA | Primary |
Addresses
Primary practice location
218 Liberty St
Warren, PA 16365
Mailing address
Box 424
218 Liberty St
Warren, PA 16365
Phone (814) 726-3574
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FA573459 | Other | PA | ASSIGNMENT |
| W0678838 | Other | PA | BC |
National Provider Directory
National Provider DirectoryLocations
218 Liberty St
Warren, PA 16365
Phone (814) 726-3574
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Warren, PA
- NPI 1356561351
-
- Physical Therapist
- Warren, PA
- NPI 1477740314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218499200000",
"number": "1407072473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 424",
"address_2": "218 LIBERTY ST",
"city": "WARREN",
"state": "PA",
"postal_code": "16365",
"telephone_number": "814-726-3574",
"fax_number": "814-726-3583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 LIBERTY ST",
"city": "WARREN",
"state": "PA",
"postal_code": "16365",
"telephone_number": "814-726-3574",
"fax_number": "814-726-3583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2008-08-12",
"status": "A",
"authorized_official_last_name": "WOZNEAK",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER OPERATOR PHYSICAL THERAPIST",
"authorized_official_telephone_number": "814-726-3574",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHYSICAL THERAPIST"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT005465L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASSIGNMENT",
"identifier": "FA573459",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "W0678838",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.