Mountain River Physical Therapy Specialists LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MOUNTAIN RIVER PHYSICAL THERAPY SPECIALISTS LLC

Practice address

5479 Pottsville Pike Ste 200
Leesport, PA 19533-8634

Phone

(610) 926-6778

Fax

(610) 926-7200

NPI assigned

Dec 1, 2020

Organization subpart

No

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

Authorized official

Name

Burton Reed

Title

Ceo/Member

Phone

(304) 917-3660

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mountain River Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Parkersburg, WV
  • NPI 1326691312

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1639774383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 36TH ST STE 100",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261011005",
            "telephone_number": "304-917-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5479 POTTSVILLE PIKE STE 200",
            "city": "LEESPORT",
            "state": "PA",
            "postal_code": "195338634",
            "telephone_number": "610-926-6778",
            "fax_number": "610-926-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN RIVER PHYSICAL THERAPY SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "BURTON",
        "authorized_official_title_or_position": "CEO/MEMBER",
        "authorized_official_telephone_number": "304-917-3660"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Joseph Mehalko, DPT
• Alison M Mitch, MD
• Kathryn E Mitten
• Susan Moczydlowski, OTR/L
• Mountain River Physical Therapy LLC
• Lisa R Nagle
• Mary Anna Namiotka, LCSW
• Kay Marie Nichols-Wolfe, MBA, OTR/L
• Katlyn Noel
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Centers)

• Physical Therapy Clinic/Center in Leesport, PA
• Providers in Leesport, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.