William Allen Stang Jr., A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

501 South Main St
Physical Therapy Associates Nepa
Old Forge, PA 18518

Phone

(570) 457-4099

Fax

(570) 457-7205

NPI assigned

Jul 11, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Physical Therapy Associates of Northeast Pennsylvania Inc

  • Physical Therapy Clinic/Center
  • Old Forge, PA
  • NPI 1326054750
  NPD

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700810835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 LILLIBRIDGE ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "18452",
            "telephone_number": "570-430-9389",
            "fax_number": "570-457-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SOUTH MAIN ST",
            "address_2": "PHYSICAL THERAPY ASSOCIATES NEPA",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "18518",
            "telephone_number": "570-457-4099",
            "fax_number": "570-457-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANG",
        "first_name": "WILLIAM",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "A.T.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION",
            "identifier": "07970269",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne J Santioni, DO
• Sandra Scavo, PHARMACIST
• Sharon Palushock, M.D., P.C.
• Lori Ann Slocum, PHARMD
• Tommy Souriyavong, ATC,LAT
• Susquehanna Valley Mobility Services, Inc.
• Sloan A Svadeba-Cummings, M.S., LPC, NCC
• Bridget Elizabeth Thomas, PHARM D
• Gabrielle Verespey
• Teresa Ann Vieira

• Athletic Trainer in Old Forge, PA
• Providers in Old Forge, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.