Organization Active NPI

Todd Farrell

  • Rehabilitation Clinic/Center
  • Bellefonte, PA
National Provider Identifier
1669455309
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
TODD FARRELL
Practice address
3208 Benner Pike
Suite 130
Bellefonte, PA 16823-8475
Phone
(814) 353-9155
NPI assigned
Nov 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Michele A Farrell
Title
Office Manager
Phone
(814) 353-9155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

3208 Benner Pike
Suite 130
Bellefonte, PA 16823-8475

Mailing address

3208 Benner Pike
Suite 130
Bellefonte, PA 16823-8475
Phone (814) 353-9155

Other identifiers 3

IdentifierTypeStateIssuer
MU1747553OtherPAHIGHMARK BLUE SHIELD
50026720OtherPACAPITAL BLUECROSS
237909OtherPAHEALTHAMERICA/HEALTHASSUR

Other names 1

  • Muscular Therapy Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

3208 Benner Pike
Ste 130
Bellefonte, PA 16823
Phone (814) 353-9155

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1669455309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 BENNER PIKE",
            "address_2": "SUITE 130",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168238475",
            "telephone_number": "814-353-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 BENNER PIKE",
            "address_2": "SUITE 130",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168238475",
            "telephone_number": "814-353-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD FARRELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-353-9155"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "MU1747553",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUECROSS",
            "identifier": "50026720",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA/HEALTHASSUR",
            "identifier": "237909",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muscular Therapy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellefonte, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.