Holly Michelle Tkacik, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011634L Issued in PA

Practice address

160 Plaza Dr
Clearfield, PA 16830-6007

Phone

(814) 762-8356

Fax

(814) 762-8366

NPI assigned

Aug 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Radius PT of Pennsylvania LLC

  • Physical Therapy Clinic/Center
  • Clearfield, PA
  • NPI 1225774276
  NPD

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1700042207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CHESTER ST STE 5",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168303319",
            "telephone_number": "855-583-3537",
            "fax_number": "855-966-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 PLAZA DR",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168306007",
            "telephone_number": "814-762-8356",
            "fax_number": "814-762-8366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Chester St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Clearfield",
            "state": "PA",
            "postal_code": "168303319",
            "country_code": "US",
            "telephone_number": "855-583-3537",
            "fax_number": "855-966-4087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TKACIK",
        "first_name": "HOLLY",
        "middle_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT011634L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Eileen Tarner, DPT
• Team Balance Pain Management Clinic
• Annette Ann Temchak-Olszewski, CRNA
• The Ark Counseling and Supervision Services
• Melissa Ann Thompson, PT
• Jessica Renae Tomblin
• Joanne M Tormohlen, OTR
• Katie Truesdale
• Sandra K Tubo, M. ED., M.S,
• Duane F Tull, M.D.

• Physical Therapist in Clearfield, PA
• Providers in Clearfield, 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 12, 2022; 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.