Active NPI
Patrick Donald Dennison, PT
- Physical Therapist
- Philipsburg, PA
National Provider Identifier
1841322385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013097L
- Practice address
- 1633 Philipsburg Bigler Hwy
Cen-Clear Child Services
Philipsburg, PA 16866-8112 - Phone
- (814) 342-2755
- NPI assigned
- Mar 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013097L | PA | Primary |
Addresses
Primary practice location
1633 Philipsburg Bigler Hwy
Cen-Clear Child Services
Philipsburg, PA 16866-8112
Mailing address
115 N 5TH St
Reynoldsville, PA 15851-1369
Phone (814) 653-8310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018230980001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT013097L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gilmore Audiology LLC | Past | Accepting new patients | |
| Anderson Physical Therapy Etc PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Seneca, PA
- NPI 1487647376
-
- Audiologist-Hearing Aid Fitter
- Franklin, PA
- NPI 1679933378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186531200000",
"number": "1841322385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 N 5TH ST",
"city": "REYNOLDSVILLE",
"state": "PA",
"postal_code": "158511369",
"telephone_number": "814-653-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 PHILIPSBURG BIGLER HWY",
"address_2": "CEN-CLEAR CHILD SERVICES",
"city": "PHILIPSBURG",
"state": "PA",
"postal_code": "168668112",
"telephone_number": "814-342-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNISON",
"first_name": "PATRICK",
"middle_name": "DONALD",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-11",
"last_updated": "2007-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT013097L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1018230980001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philipsburg, PA
- Clear Med Provider Corporation
- Clinical Care Liaisons, Inc.
- Kelly Leigh Conner, LPC
- Roberta Lynn Connor, OTR
- Tiffany Cragan, CRNP
- Monica Deyarmin, PHARMD
- Dicks Home Care Inc
- Coleen Anne Dixon, M. ED., LPC
- Drayer Physical Therapy Institute LLC
- Dubois Reg Med Ctr - PH Dubois Moshannon Valley Community Med BLDG (DuBois Regional Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.