Williamsport Physical Medicine, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WILLIAMSPORT PHYSICAL MEDICINE, INC.

Practice address

250 Pierce St
Suite 108
Kingston, PA 18704-5149

Phone

(570) 287-5560

Fax

(570) 287-1107

NPI assigned

Dec 9, 2010

Organization subpart

No

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

Authorized official

Name

Frank J Forte, D.C.

Title

President

Phone

(570) 322-5500

Specialties & licenses 1

Addresses

Other names 1

• Neuropathy Center of NEPA Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Ann Galloway, MD

  • Occupational Medicine Physician
  • Williamsport, PA
  • NPI 1689645798
  NPD (past)
• Dane Michael Kozlevcar, M.S.P.T.

  • Physical Therapist
  • Moosic, PA
  • NPI 1508151028
  NPD (past)

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1881997005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E 3RD ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015411",
            "telephone_number": "570-322-5500",
            "fax_number": "570-322-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PIERCE ST",
            "address_2": "SUITE 108",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045149",
            "telephone_number": "570-287-5560",
            "fax_number": "570-287-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSPORT PHYSICAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "FORTE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-322-5500",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuropathy Center of NEPA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wilkes-Barre Behavioral Hospital Company LLC
• William D Hottenstein MD PC
• William J Scott Jr Ms
• Judy A Williams
• Stephanie S Williams, LCSW
• Gordon Bruce Wilson, LCSW
• Levi Yitzchok Wolff, LPC
• Women to Women
• Allen Woods, D.M.D.
• Wyoming Valley Alcohol and Drug Services Inc

• Durable Medical Equipment & Medical Supplies in Kingston, PA
• Providers in Kingston, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.