Lavonne Kathy Midberry, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT000826E Issued in PA

Practice address

110 W Wissahickon Ave
Flourtown, PA 19031-1802

Phone

(215) 836-4179

NPI assigned

Nov 20, 2024

Sex

Female

Sole proprietor

Yes

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.

• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Johnstown, PA
  • NPI 1770537821

  Physical Therapist

  NPD
• Rehabcare Group East, LLC

  • Physical Medicine & Rehabilitation Physician
  • Waco, TX
  • NPI 1215806898
  NPD

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1700601085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 CLOVER HILL CT",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675736",
            "telephone_number": "215-429-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W WISSAHICKON AVE",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311802",
            "telephone_number": "215-836-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDBERRY",
        "first_name": "LAVONNE",
        "middle_name": "KATHY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT000826E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Jean McOsker, M.ED
• Neema Emile Mehrganpour, DMD
• Taral Tushar Mehta, D.M.D.
• Divo Messori, MD
• Sarah Michelson
• Montgomery Radiology, P.C. (Medical Imaging of Flourtown)
• David Morrison
• Mount Saint Joseph Academy
• Sharon Mullin Corcoran, MD
• Charles S. Murphy, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.