Tioga Health Care Providers, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

TIOGA HEALTH CARE PROVIDERS, INC

Practice address

416 S Main St
Mansfield, PA 16933-1510

Phone

(570) 662-0000

NPI assigned

Jun 9, 2016

Organization subpart

Yes

Parent organization

SUSQUEHANNA HEALTHAs reported in NPPES

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

Authorized official

Name

Ronald M Gilbert Jr.

Title

VP Finance

Phone

(570) 723-0603

Specialties & licenses 1

Addresses

Other names 1

• Susquehanna Health Medical Plaza at Mansfield Doing business as

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1457700551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 S MAIN ST",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S MAIN ST",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331510",
            "telephone_number": "570-662-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIOGA HEALTH CARE PROVIDERS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUSQUEHANNA HEALTH",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "570-723-0603",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susquehanna Health Medical Plaza at Mansfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tioga County Dept of Human Services
• Tioga County Dept of Human Services
• Tioga County Dept of Human Services
• Tioga County Dept. of Human Services
• Tioga County Homeless Initiative
• Tioga Health Care Providers, Inc
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Margaret M. Waters, NP
• Wellspring Community Support Services, Inc.

• Physical Therapy Clinic/Center in Mansfield, PA
• Providers in Mansfield, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.