Organization Active NPI

Core Physical Thearpy & Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Altoona, PA
National Provider Identifier
1750616728
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT018015 Issued in PA
Legal business name
CORE PHYSICAL THEARPY & REHABILITATION LLC
Practice address
5410 6TH Ave
Altoona, PA 16602-1203
Phone
(814) 937-7073
NPI assigned
Oct 8, 2009
Last updated
Oct 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. William J Padamonsky II, MPTNPI 1760444848
Title
Owner
Phone
(814) 937-7073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT018015 PA Primary

Addresses

Primary practice location

5410 6TH Ave
Altoona, PA 16602-1203

Mailing address

108 Aldrich Ave
Altoona, PA 16602-3202
Phone (814) 937-7073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100329000558 PA Part B Supplier - Clinic/Group Practice 8325174469 Receives reassigned benefits from 2 practitioners
Practice locations: Altoona, PA

National Provider Directory

National Provider Directory

Locations

5410 6th Ave
Altoona, PA 16602
Phone (814) 937-7073

5410 6th Ave
Ste 5
Altoona, PA 16602
Phone (814) 937-7073

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1750616728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ALDRICH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166023202",
            "telephone_number": "814-937-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 6TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021203",
            "telephone_number": "814-937-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PHYSICAL THEARPY & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "PADAMONSKY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-937-7073",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT018015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.