Candice Purnell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE012002 Issued in PA

Practice address

40 W Northampton St
Wilkes Barre, PA 18701-1775

Phone

(570) 307-2775

Fax

(570) 307-2776

NPI assigned

Feb 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1558067561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 N MAIN ST STE 100",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401949",
            "telephone_number": "570-208-2787",
            "fax_number": "570-208-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W NORTHAMPTON ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187011775",
            "telephone_number": "570-307-2775",
            "fax_number": "570-307-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURNELL",
        "first_name": "CANDICE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE012002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ptest LLC
• David M. Pugliese, D.O.
• Heather Catherine Pugliese, LCSW
• Scarlet D Pujols Recio, CCHW
• Mark Purcell, OTR
• Andrew Steven Pursel
• Alexandra Marie Pusateri, MD
• Joseph Putprush, MD
• Samanza Quazi, M.D.
• Lino A. Quilo, M.D.

• Physical Therapy Assistant in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.