Organization Active NPI

Telemark Physical Medicine, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Greenville, PA
National Provider Identifier
1427077676
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
TELEMARK PHYSICAL MEDICINE, P.C.
Practice address
10 Greenville PLZ
Hadley Road
Greenville, PA 16125-1240
Phone
(724) 588-8884
Fax
(724) 588-8931
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Frances A Valentine, MSN, RN
Title
Office Manager
Phone
(724) 588-8884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

10 Greenville PLZ
Hadley Road
Greenville, PA 16125-1240

Mailing address

10 Greenville PLZ
Hadley Road
Greenville, PA 16125-1240
Phone (724) 588-8884

Other identifiers 1

IdentifierTypeStateIssuer
0015351510005MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1427077676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GREENVILLE PLZ",
            "address_2": "HADLEY ROAD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251240",
            "telephone_number": "724-588-8884",
            "fax_number": "724-588-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GREENVILLE PLZ",
            "address_2": "HADLEY ROAD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251240",
            "telephone_number": "724-588-8884",
            "fax_number": "724-588-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEMARK PHYSICAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-588-8884",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015351510005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.