Barry Michael Wrench, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016883 Issued in PA

Practice address

320 Thomas St
Jersey Shore, PA 17740-1049

Phone

(570) 398-1859

Fax

(570) 398-1707

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17073/brand/1/csg/1/fhir/r4

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.

• Pennsylvania Institute of Neurology LLC

  • Neurology Physician
  • Selinsgrove, PA
  • NPI 1194054460
  NPD (past)
• Phoenix Rehabilitation and Health Services, Inc.

  • Physical Therapist
  • Cranberry Township, PA
  • NPI 1720084155
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1790769362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 INNOVATION DRIVE",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "15717",
            "telephone_number": "724-343-4060",
            "fax_number": "724-343-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 THOMAS ST",
            "city": "JERSEY SHORE",
            "state": "PA",
            "postal_code": "177401049",
            "telephone_number": "570-398-1859",
            "fax_number": "570-398-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRENCH",
        "first_name": "BARRY",
        "middle_name": "MICHAEL",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE BOARD",
            "identifier": "PT016883",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William J Schlorff
• Christopher Todd Witmer, DC
• E. Milton Witthoff Jr., M.D.
• Jennifer Rae Wolfe, RD, CSG, LDN
• Sandrina Womer, CRNP
• Kyle David Yebernetsky, M.D.
• Amanda Young
• Charlene K Young, COTA/L
• Jennifer Marie Younkin
• Emme Jane Youse, OTD, OTR/L

• Physical Therapist in Jersey Shore, PA
• Providers in Jersey Shore, PA by specialty
• Physical Therapist in Pennsylvania

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

Verify at the official NPI Registry.