Organization Active NPI

Foundation Physcial Therapy, PC

  • Physical Therapy Clinic/Center
  • Williamsport, PA
National Provider Identifier
1407099062
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT-013441-L Issued in PA
Legal business name
FOUNDATION PHYSCIAL THERAPY, PC
Practice address
715 Washington Blvd
Williamsport, PA 17701
Phone
(570) 337-8516
NPI assigned
Apr 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Mr. Justin Joseph Catino, PT
Title
President/PT
Phone
(570) 337-8516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT-013441-L PA Primary

Addresses

Primary practice location

715 Washington Blvd
Williamsport, PA 17701

Mailing address

715 Washington Blvd
Williamsport, PA 17701
Phone (570) 337-8516

National Provider Directory

National Provider Directory

Locations

715 Washington Blvd
#1
Williamsport, PA 17701
Phone (570) 323-2525

715 Washington Blvd
Williamsport, PA 17701
Phone (570) 337-8516

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1407099062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 WASHINGTON BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "17701",
            "telephone_number": "570-337-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 WASHINGTON BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "17701",
            "telephone_number": "570-337-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION PHYSCIAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "CATINO",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/PT",
        "authorized_official_telephone_number": "570-337-8516",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT-013441-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.