Active NPI
Thomas I Parnell III, PT
- Physical Therapist
- Duncansville, PA
National Provider Identifier
1457422784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006855L
- Practice address
- 1798 Plank Rd Ste 103
Duncansville, PA 16635-8389 - Phone
- (814) 696-3400
- Fax
- (814) 696-3402
- NPI assigned
- Nov 10, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17463 | MD | |
| Physical Therapist | 225100000X | DAPT000610 | PA | |
| Athletic Trainer | 2255A2300X | RT001846A | PA | |
| Physical Therapist | 225100000X | PT006855L | PA | Primary |
Addresses
Primary practice location
1798 Plank Rd Ste 103
Duncansville, PA 16635-8389
Mailing address
339 Oak Knoll Rd
Hollidaysburg, PA 16648-2613
Phone (814) 696-1675
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 658058 | Other | PA | HIGHMARK BC BS |
| 01666411 | Other | PA | MEDICAID |
| 650022713 | Other | PA | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 17463 | MD | MD | Physical Therapist |
| DAPT000610 | PA | MD | Physical Therapist |
| PT006855L | PA | MD | Physical Therapist |
| RT001846A | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1457422784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 OAK KNOLL RD",
"city": "HOLLIDAYSBURG",
"state": "PA",
"postal_code": "166482613",
"telephone_number": "814-696-1675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1798 PLANK RD STE 103",
"city": "DUNCANSVILLE",
"state": "PA",
"postal_code": "166358389",
"telephone_number": "814-696-3400",
"fax_number": "814-696-3402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARNELL",
"first_name": "THOMAS",
"middle_name": "I",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "17463",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "DAPT000610",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT001846A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT006855L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC BS",
"identifier": "658058",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "01666411",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "650022713",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Duncansville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.