NPIMap

Organization Active NPI

Mile-Level Physical Therapy

  • Physical Therapist
  • Bedford, PA
National Provider Identifier
1801800651
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MILE-LEVEL PHYSICAL THERAPY
Practice address
9589 Lincoln Hwy
Suite 2
Bedford, PA 15522-3708
Phone
(814) 623-9022
Fax
(814) 623-6639
NPI assigned
Jul 28, 2006
Last updated
Feb 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Mr. Michael Eugene Gentry, P.T.NPI 1588676886
Title
President
Phone
(814) 623-9022

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

9589 Lincoln Hwy
Suite 2
Bedford, PA 15522-3708

Mailing address

9589 Lincoln Hwy
Suite 2
Bedford, PA 15522-3708
Phone (814) 623-9022

Other identifiers 1

IdentifierTypeStateIssuer
1009733210001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040701000109 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315924016 Receives reassigned benefits from 20 practitioners
Practice locations: Claysburg, PA; Tyrone, PA; Roaring Spring, PA; Northern Cambria, PA; Huntingdon, PA; Hyndman, PA; Bedford, PA; Altoona, PA

National Provider Directory

National Provider Directory
Tax ID family
Mile-Level Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1200 11th St
Altoona, PA 16601
Phone (814) 201-2091

9589 Lincoln Hwy
Bedford, PA 15522
Phone (814) 623-9022

12756 Dunnings Hwy
Ste 4
Claysburg, PA 16625
Phone (814) 239-9200

930 Moore St
Ste 2
Huntingdon, PA 16652
Phone (814) 506-8356

1227 Pennsylvania Ave
Tyrone, PA 16686
Phone (814) 684-6200

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1801800651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9589 LINCOLN HWY",
            "address_2": "SUITE 2",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155223708",
            "telephone_number": "814-623-9022",
            "fax_number": "814-623-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9589 LINCOLN HWY",
            "address_2": "SUITE 2",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155223708",
            "telephone_number": "814-623-9022",
            "fax_number": "814-623-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE-LEVEL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-623-9022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009733210001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.