Justine Lynn Mozelack, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT022942 Issued in PA

Practice address

5108 E Trindle Rd
Suite 200
Mechanicsburg, PA 17050-3300

Phone

(717) 790-9920

Fax

(717) 790-9923

NPI assigned

Aug 6, 2013

Last updated

Jan 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1861824435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 E TRINDLE RD",
            "address_2": "SUITE 200",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503300",
            "telephone_number": "717-790-9920",
            "fax_number": "717-790-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 E TRINDLE RD",
            "address_2": "SUITE 200",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503300",
            "telephone_number": "717-790-9920",
            "fax_number": "717-790-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZELACK",
        "first_name": "JUSTINE",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.