NPIMap

Organization Active NPI

Next Level Physical Therapy LLC

  • Physical Therapist
  • Mount Union, PA
National Provider Identifier
1689281909
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NEXT LEVEL PHYSICAL THERAPY LLC
Practice address
14330 Croghan Pike
Mount Union, PA 17066-8838
Phone
(814) 542-8630
Fax
(814) 542-2828
NPI assigned
Sep 30, 2020
Last updated
Nov 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Teresa ShultzNPI 1003188988
Title
Office Manager
Phone
(814) 937-8853

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

14330 Croghan Pike
Mount Union, PA 17066-8838

Mailing address

14330 Croghan Pike
Mount Union, PA 17066-8838
Phone (814) 542-8630

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210310000076 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8022424415 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Union, PA

National Provider Directory

National Provider Directory

Locations

14330 Croghan Pike
Mount Union, PA 17066
Phone (814) 542-3127

14430 Croghan Pike
Mt Union, PA 17066

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1689281909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14330 CROGHAN PIKE",
            "city": "MOUNT UNION",
            "state": "PA",
            "postal_code": "170668838",
            "telephone_number": "814-542-8630",
            "fax_number": "814-542-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14330 CROGHAN PIKE",
            "city": "MOUNT UNION",
            "state": "PA",
            "postal_code": "170668838",
            "telephone_number": "814-542-8630",
            "fax_number": "814-542-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT LEVEL PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "SHULTZ",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-937-8853"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Union, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.