Organization Active NPI

Physical Therapy Advantage, LLC

  • Specialist
  • Olyphant, PA
National Provider Identifier
1881838969
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PHYSICAL THERAPY ADVANTAGE, LLC
Practice address
1446 E Lackawanna Ave
Olyphant, PA 18447
Phone
(570) 383-8700
Fax
(570) 383-8702
NPI assigned
Apr 21, 2009
Last updated
Jul 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Authorized official

Name
Ruth Dunn
Title
Treasurer
Phone
(570) 251-8003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1446 E Lackawanna Ave
Olyphant, PA 18447

Mailing address

232 Sunrise Ave
Honesdale, PA 18431-1085
Phone (570) 251-8003

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1881838969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 SUNRISE AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311085",
            "telephone_number": "570-251-8003",
            "fax_number": "570-251-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 E LACKAWANNA AVE",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "18447",
            "telephone_number": "570-383-8700",
            "fax_number": "570-383-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY ADVANTAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "570-251-8003"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olyphant, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.