Active NPI
Elizabeth Jean Verazin, MSPT
- Physical Therapist
- Nanticoke, PA
National Provider Identifier
1720101041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016900
- Practice address
- 147 Old Newport St
Nanticoke, PA 18634-1327 - Phone
- (570) 740-5391
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016900 | PA | Primary |
Addresses
Primary practice location
147 Old Newport St
Nanticoke, PA 18634-1327
Mailing address
1457 S Hanover St
Nanticoke, PA 18634-3706
Phone (570) 740-2167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016900 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298851200000",
"number": "1720101041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1457 S HANOVER ST",
"city": "NANTICOKE",
"state": "PA",
"postal_code": "186343706",
"telephone_number": "570-740-2167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 OLD NEWPORT ST",
"city": "NANTICOKE",
"state": "PA",
"postal_code": "186341327",
"telephone_number": "570-740-5391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERAZIN",
"first_name": "ELIZABETH",
"middle_name": "JEAN",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2011-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT016900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nanticoke, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.