Organization Active NPI

Penn Neuromuscular Diagnostics LLC

  • Physical Therapy Clinic/Center
  • Kittanning, PA
National Provider Identifier
1558782813
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PENN NEUROMUSCULAR DIAGNOSTICS LLC
Practice address
1 Nolte Dr
Cardio Pulmonary Dept
Kittanning, PA 16201-7111
Phone
(724) 801-8894
Fax
(724) 465-6032
NPI assigned
Jan 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Thomas W Zaucha
Title
President/Owner
Phone
(724) 801-8894

Specialties & licenses 1

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

Addresses

Primary practice location

1 Nolte Dr
Cardio Pulmonary Dept
Kittanning, PA 16201-7111

Mailing address

9 N 7TH St
2ND Floor, Townplace Victoria
Indiana, PA 15701-1880
Phone (724) 801-8894

Other names 1

  • PNDx Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1558782813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N 7TH ST",
            "address_2": "2ND FLOOR, TOWNPLACE VICTORIA",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011880",
            "telephone_number": "724-801-8894",
            "fax_number": "724-465-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NOLTE DR",
            "address_2": "CARDIO PULMONARY DEPT",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017111",
            "telephone_number": "724-801-8894",
            "fax_number": "724-465-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN NEUROMUSCULAR DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "ZAUCHA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "724-801-8894"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PNDx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kittanning, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.