Erick Mader

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT032873 Issued in PA

Practice address

Willowpoint Plaza Suite 110
800 Plaza Dr
Belle Vernon, PA 15012

Phone

(724) 379-7130

Fax

(724) 379-7178

NPI assigned

Dec 16, 2024

Last updated

Dec 16, 2024By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

Practice roles

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

• Valley Outpatient Rehabilitation

  • Specialist
  • Monongahela, PA
  • NPI 1285696179
  NPD (past)

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1700693561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 COUNTRY CLUB RD",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631553",
            "telephone_number": "724-258-6211",
            "fax_number": "724-258-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WILLOWPOINT PLAZA SUITE 110",
            "address_2": "800 PLAZA DR",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "15012",
            "telephone_number": "724-379-7130",
            "fax_number": "724-379-7178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1027 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Monongahela",
            "state": "PA",
            "postal_code": "150631553",
            "country_code": "US",
            "telephone_number": "724-258-6211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADER",
        "first_name": "ERICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Kossol
• Frank Kula, MPT, ATC
• Kevin C Laster, DC OF CHIROPRATIC
• Mary Lee Long, MSN,CRNP
• Richard Long, MD
• Patrick Mahoney
• Melissa Aguas Malepati, FNP-BC
• John A Marino, D.C.
• Peter McConnell, M.D.
• Dawn R McCracken, M.D.

• Physical Therapist in Belle Vernon, PA
• Providers in Belle Vernon, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.