Active NPI
Jackson Therapy
- Rehabilitation Clinic/Center
- Hollidaysburg, PA
National Provider Identifier
1740678242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- JACKSON THERAPY
- Practice address
- 109 Leaf LN
Hollidaysburg, PA 16648-1037 - Phone
- (814) 201-4059
- NPI assigned
- Jan 6, 2015
- Last updated
- Jan 6, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Laninfa
- Title
- Recruiter
- Phone
- (407) 308-3874
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | NU | Primary |
Addresses
Primary practice location
109 Leaf LN
Hollidaysburg, PA 16648-1037
Mailing address
109 Leaf LN
Hollidaysburg, PA 16648-1037
Phone (814) 201-4059
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420502400000",
"number": "1740678242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 LEAF LN",
"city": "HOLLIDAYSBURG",
"state": "PA",
"postal_code": "166481037",
"telephone_number": "814-201-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 LEAF LN",
"city": "HOLLIDAYSBURG",
"state": "PA",
"postal_code": "166481037",
"telephone_number": "814-201-4059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-06",
"last_updated": "2015-01-06",
"status": "A",
"authorized_official_last_name": "LANINFA",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "RECRUITER",
"authorized_official_telephone_number": "407-308-3874",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollidaysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.