NPIMap

Organization Active NPI

Elmtree Wellness Center, Inc.

  • Physical Therapy Clinic/Center
  • Hawley, PA
National Provider Identifier
1497293518
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
018579 Issued in PA
Legal business name
ELMTREE WELLNESS CENTER, INC.
Practice address
2489 Route 6
Suite 6
Hawley, PA 18428-6078
Phone
(570) 390-7900
Fax
(570) 390-7901
NPI assigned
Feb 9, 2017
Last updated
Apr 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Susan Pasquini, MSPTNPI 1760675482
Title
PT/Owner
Phone
(570) 390-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 018579 PA Primary

Addresses

Primary practice location

2489 Route 6
Suite 6
Hawley, PA 18428-6078

Mailing address

2489 Route 6
Suite 6
Hawley, PA 18428-6078
Phone (570) 390-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170323000416 PA Part B Supplier - Clinic/Group Practice 4486939022 Receives reassigned benefits from 16 practitioners
Practice locations: Hawley, PA; Honesdale, PA; Lake Ariel, PA

National Provider Directory

National Provider Directory

Locations

2489 Route 6
Ste 6
Hawley, PA 18428
Phone (570) 218-7909

190 Delaware St
Honesdale, PA 18431
Phone (570) 203-1377

554 Hamlin Hwy
#2
Lake Ariel, PA 18436
Phone (570) 218-5405

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1497293518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 ROUTE 6",
            "address_2": "SUITE 6",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184286078",
            "telephone_number": "570-390-7900",
            "fax_number": "570-390-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 ROUTE 6",
            "address_2": "SUITE 6",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184286078",
            "telephone_number": "570-390-7900",
            "fax_number": "570-390-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMTREE WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "PASQUINI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "570-390-7900",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "018579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.