Individual provider Active NPI

Heather Dolores Patrick, DPT

  • Physical Therapist
  • York, PA
National Provider Identifier
1679705495
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020123 Issued in PA
Practice address
2821 East Prospect Road
York, PA 17402-9213
Phone
(717) 840-1874
Fax
(717) 840-0968
NPI assigned
Aug 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT020123 PA Primary

Addresses

Primary practice location

2821 East Prospect Road
York, PA 17402-9213

Mailing address

2821 East Prospect Road
York, PA 17402
Phone (717) 840-1874

Other names 1

  • Miss Heather Dolores Mancuso Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100114000572 PA Practitioner - Physical Therapist in Private Practice 8426199332 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PSHR Physical Therapy, LLC Physical Therapist CurrentSince Jul 3, 2019 Accepting new patients
FC Select LLC Physical Therapist CurrentSince Jul 3, 2019 Accepting new patients
PHS Physical Therapy, LLC CurrentSince Jul 3, 2019 Accepting new patients
PHS Physical Therapy, LLC Physical Therapist CurrentSince Jul 3, 2019 Accepting new patients
Rivera Physical Therapy, PC Physical Therapist CurrentSince Jun 2, 2014 Accepting new patients

Locations

4033 Linglestown Rd
Ste 2
Harrisburg, PA 17112
Phone (717) 657-8240

308 Hockersville Rd
Hershey, PA 17033
Phone (717) 298-1411

190 N Pointe Blvd
Ste 2
Lancaster, PA 17601
Phone (717) 298-8897

190 N Pointe Blvd
Lancaster, PA 17601
Phone (717) 392-8897

1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731

2803 N George St
York, PA 17406
Phone (717) 848-0878

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1679705495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 EAST PROSPECT ROAD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-840-1874",
            "fax_number": "717-840-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 EAST PROSPECT ROAD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029213",
            "telephone_number": "717-840-1874",
            "fax_number": "717-840-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "HEATHER",
        "middle_name": "DOLORES",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MANCUSO",
            "middle_name": "DOLORES",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.