NPIMap

Organization Active NPI

Manor at Susquehanna

  • Skilled Nursing Facility
  • Millersburg, PA
National Provider Identifier
1629317219
Registry record updated Feb 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
TE1000673 Issued in PA
Legal business name
MANOR AT SUSQUEHANNA
Practice address
990 Medical Rd
Millersburg, PA 17061-1235
Phone
(717) 692-5209
NPI assigned
Feb 3, 2013
Last updated
Feb 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2013

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

Authorized official

Name
Ms. Deborah D. Troutman, PTA
Title
Physical Therapist Assistant
Phone
(717) 692-5209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X TE1000673 PA Primary

Addresses

Primary practice location

990 Medical Rd
Millersburg, PA 17061-1235

Mailing address

6003 Sommerton Dr
Mechanicsburg, PA 17050-7374
Phone (717) 612-1980

National Provider Directory

National Provider Directory
Tax ID family
Gayle Witham456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 11

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1359849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359849600000",
    "number": "1629317219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 SOMMERTON DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170507374",
            "telephone_number": "717-612-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 MEDICAL RD",
            "city": "MILLERSBURG",
            "state": "PA",
            "postal_code": "170611235",
            "telephone_number": "717-692-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR AT SUSQUEHANNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-03",
        "last_updated": "2013-02-03",
        "status": "A",
        "authorized_official_last_name": "TROUTMAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "717-692-5209",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "TE1000673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersburg, PA

Sources for this page

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

Verify at the official NPI Registry.