Active NPI
Elaine S Maurer
- Physical Therapist
- Lebanon, PA
National Provider Identifier
1750404091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT002434L
- Practice address
- 1126 Walnut St
Lebanon, PA 17042-5950 - Phone
- (717) 274-3493
- 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 | PT002434L | PA | Primary |
Addresses
Primary practice location
1126 Walnut St
Lebanon, PA 17042-5950
Mailing address
1819 Blacks Bridge Rd
Annville, PA 17003-9665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017039270001 | Medicaid | PA |
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 |
|---|---|---|---|
| PT002434L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Developmental & Disability Services | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Lebanon, PA
- NPI 1366575458
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": "1183939200000",
"number": "1750404091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 BLACKS BRIDGE RD",
"city": "ANNVILLE",
"state": "PA",
"postal_code": "170039665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 WALNUT ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170425950",
"telephone_number": "717-274-3493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURER",
"first_name": "ELAINE",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT002434L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017039270001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.