Ixl Rehab & Fitness Center LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT005706-L Issued in PA

Legal business name

IXL REHAB & FITNESS CENTER LLC

Practice address

139 North Erie Street
Mercer, PA 16137-1204

Phone

(724) 662-1776

Fax

(724) 662-1858

NPI assigned

Jul 28, 2005

Last updated

Aug 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael J Sharr, PT, DPT, CLT-LANA

Title

President

Phone

(724) 662-1776

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Pierce, PT

  • Physical Therapist
  • Harmony, PA
  • NPI 1447973359
  NPD
• Amanda M Kuharik, DC, DPT

  • Physical Therapist
  • Farrell, PA
  • NPI 1356326680
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1669472999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 NORTH ERIE STREET",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161371204",
            "telephone_number": "724-662-1776",
            "fax_number": "724-662-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 NORTH ERIE STREET",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161371204",
            "telephone_number": "724-662-1776",
            "fax_number": "724-662-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IXL REHAB & FITNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "SHARR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-662-1776",
        "authorized_official_credential": "PT, DPT, CLT-LANA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005706-L",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "4000007220",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": "4000007220",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10114998000001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alysha Harvey, NP
• Michelle Hayman, LSW
• Judith L Helsing, LSW
• Jennifer Howard
• David Hoyt
• Jennifer Jewell, PT
• Denise Marie Johnson
• Christine M Jones, PT, DPT, LAT, ATC
• Lauren Lee Jorgensen, D.C.
• Stacey Ann Joslin, PA-C

• Physical Therapist in Mercer, PA
• Providers in Mercer, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.