Active NPI
Martha Deborah Tabernik, BS
- Physical Therapist
- Honey Brook, PA
National Provider Identifier
1598098253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017691
- Practice address
- 1200 Tel Hai Cir
Honey Brook, PA 19344-1271 - Phone
- (610) 273-9333
- NPI assigned
- Sep 14, 2009
- Sex
- Female
- 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 | PT017691 | PA | Primary |
Addresses
Primary practice location
1200 Tel Hai Cir
Honey Brook, PA 19344-1271
Mailing address
526 McGraw LN
Glenmoore, PA 19343-9596
Phone (484) 228-8101
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)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017691 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1598098253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 MCGRAW LN",
"city": "GLENMOORE",
"state": "PA",
"postal_code": "193439596",
"telephone_number": "484-228-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 TEL HAI CIR",
"city": "HONEY BROOK",
"state": "PA",
"postal_code": "193441271",
"telephone_number": "610-273-9333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABERNIK",
"first_name": "MARTHA",
"middle_name": "DEBORAH",
"name_prefix": "Mrs.",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-14",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT017691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honey Brook, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.