Gary Dean Harner, PT
Individual provider Active NPI Physical Therapist · Gilbertsville, PA
NPI 1801909775 · NPPES record last updated Mar 17, 2008
Key facts
- NPI
- 1801909775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 013495L (PA)
- Practice address
- 1806 Swamp Pike
Suite 100
Gilbertsville, PA 19525-9307 - Phone
- (610) 327-2600
- Fax
- (610) 327-9050
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 013495L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mishock Physical Therapy & Associates, LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 013495L | PA | Yes |
Addresses
Primary practice location
1806 Swamp Pike
Suite 100
Gilbertsville, PA 19525-9307
Mailing address
1806 Swamp Pike
Suite 100
Gilbertsville, PA 19525-9307
Phone (610) 327-2600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962428391 | Other | PA | GROUP NPI |
| 2100071000 | Other | PA | PERSONAL CHOICE/KHPE |
| 1413272 | Other | PA | HIGHMARK |
Other providers in Gilbertsville, PA
- Tamara Lynn Gundersen
- Karen Hahn
- Heather Hair
- Hanover Family Dental Group, Inc.
- Donna Shearer Harmon
- Troy Alexander Heuer Sr.
- Shirley Kay Johnson
- K&K Endodontics LLC
- Samantha Ann Kane
- Christi N Kelly
All providers in Gilbertsville, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.