Active NPI
Philip Mosolino, DPT
- Physical Therapist
- Honesdale, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT028839
- Practice address
- 214 6TH St
Honesdale, PA 18431-1801 - Phone
- (570) 228-2142
- Fax
- (570) 228-2349
- NPI assigned
- Aug 20, 2020
- Last updated
- Aug 20, 2020
- 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 | PT028839 | PA | Primary |
Addresses
Primary practice location
214 6TH St
Honesdale, PA 18431-1801
Mailing address
655 Northern Blvd
South Abington Township, PA 18411-8740
Phone (570) 842-9323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT028839 | Other | PA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
190 Delaware St
Honesdale, PA 18431-1104
Phone (570) 616-0655
200 Scranton Carbondale Hwy
Eynon, PA 18403-1029
Phone (570) 291-8563
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT028839 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Movement Solutions LLC | Physical Therapist | Current | Accepting new patients |
Locations
82 N Main St
Ste 1
Carbondale, PA 18407
Phone (570) 282-0200
200 Scranton Carbondale Hwy
Eynon, PA 18403
Phone (570) 291-8563
655 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2142
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Hawley, PA
- NPI 1497293518
-
- Physical Therapist
- Towanda, PA
- NPI 1003876319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1467064485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 NORTHERN BLVD",
"city": "SOUTH ABINGTON TOWNSHIP",
"state": "PA",
"postal_code": "184118740",
"telephone_number": "570-842-9323",
"fax_number": "570-842-9362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 6TH ST",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184311801",
"telephone_number": "570-228-2142",
"fax_number": "570-228-2349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSOLINO",
"first_name": "PHILIP",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-20",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT028839",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PT028839",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honesdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.