Active NPI
Adam Muzalewski, PT
- Physical Therapist
- Brodheadsville, PA
National Provider Identifier
1477523751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010711L
- Practice address
- Rte. 209
HC#1 Box 110
Brodheadsville, PA 18322-9532 - Phone
- (570) 992-4400
- Fax
- (570) 992-5262
- NPI assigned
- Jan 26, 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 | PT010711L | PA | Primary |
Addresses
Primary practice location
Rte. 209
HC#1 Box 110
Brodheadsville, PA 18322-9532
Mailing address
112 Freedom Court
Bethlehem, PA 18020
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2125286000 | Other | PA | INDEPENDENCE BLUE SHEILD |
| 50056180 | Other | PA | CAPITAL BLUE CROSS |
| 7129458 | Other | PA | AETNA |
| 819953 | Other | PA | FIRST PRIORITY HEALTH |
| 1441422 | Other | PA | BLUE SHIELD |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Physical Therapy 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 Therapy Clinic/Center
- Bethlehem, PA
- NPI 1841392362
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1477523751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 FREEDOM COURT",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RTE. 209",
"address_2": "HC#1 BOX 110",
"city": "BRODHEADSVILLE",
"state": "PA",
"postal_code": "183229532",
"telephone_number": "570-992-4400",
"fax_number": "570-992-5262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUZALEWSKI",
"first_name": "ADAM",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT010711L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE SHEILD",
"identifier": "2125286000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50056180",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7129458",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "819953",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1441422",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brodheadsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.