Active NPI
Michael David Reese, P.T.
- Physical Therapist
- Cresson, PA
National Provider Identifier
1417038340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008520L
- Practice address
- 7447 Admiral Peary Hwy
Suite 2
Cresson, PA 16630-1901 - Phone
- (814) 886-9315
- Fax
- (814) 886-9316
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008520L | PA | Primary |
Addresses
Primary practice location
7447 Admiral Peary Hwy
Suite 2
Cresson, PA 16630-1901
Mailing address
430 Innovation Drive
Blairsville, PA 15717-8096
Phone (724) 343-4060
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7293667 | Other | PA | AETNA |
| 001350036 | Other | PA | HIGHMARK BLUE SHIELD |
| 153985 | Other | PA | HEALTH AMER/HEALTH ASSUR. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT008520L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Cranberry Township, PA
- NPI 1720084155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1417038340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 INNOVATION DRIVE",
"city": "BLAIRSVILLE",
"state": "PA",
"postal_code": "157178096",
"telephone_number": "724-343-4060",
"fax_number": "724-343-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7447 ADMIRAL PEARY HWY",
"address_2": "SUITE 2",
"city": "CRESSON",
"state": "PA",
"postal_code": "166301901",
"telephone_number": "814-886-9315",
"fax_number": "814-886-9316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT008520L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7293667",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "001350036",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMER/HEALTH ASSUR.",
"identifier": "153985",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cresson, PA
- Phoenix Rehabilitation and Health Services, Inc.
- Premier Dental Alliance LLC (Modern Dental Assoc.)
- R2 Wellness and Recovery Solutions Inc
- Donald F Ratchford, MD
- Paul A Raymond, MD
- Dawn Repko
- James M Repko, OD
- Tonee Rice, LPC
- Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 01543)
- Becky Lynn Ropp, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.