Johnsonburg Physical Therapy & Fitness Center Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

DAPT000976 Issued in PA

Legal business name

JOHNSONBURG PHYSICAL THERAPY & FITNESS CENTER INC

Practice address

81 Clarion Road
Johnsonburg, PA 15845-1656

Phone

(814) 965-5810

Fax

(814) 965-2200

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Raymond J Butterfield, PT

Title

President

Phone

(814) 965-5810

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780781914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 CLARION ROAD",
            "city": "JOHNSONBURG",
            "state": "PA",
            "postal_code": "158451656",
            "telephone_number": "814-965-5810",
            "fax_number": "814-965-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 CLARION ROAD",
            "city": "JOHNSONBURG",
            "state": "PA",
            "postal_code": "158451656",
            "telephone_number": "814-965-5810",
            "fax_number": "814-965-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSONBURG PHYSICAL THERAPY & FITNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTTERFIELD",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-965-5810",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT000976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016409800002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Gayley, RDH, PHDHP
• Debra Jacob, RDHBS, PHDHP
• Johnsonburg Area School District
• Johnsonburg Dental Center
• Johnsonburg Fire Department
• Mary Reed Dacanal, OD Inc.
• Carolyn Karafiath Miller, PA-C
• Naila Naseem-Elkassas, D.D.S.
• Pennsylvania CVS Pharmacy, L.L.C.
• Taylor Marie Scida, RDH, PHDHP

• Physical Therapist in Johnsonburg, PA
• Providers in Johnsonburg, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.