NPIMap

Organization Active NPI

Tannersville Physical Therapy & Wellness, Inc.

  • Physical Therapist
  • Stroudsburg, PA
National Provider Identifier
1902872773
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013394L Issued in PA
Legal business name
TANNERSVILLE PHYSICAL THERAPY & WELLNESS, INC.
Practice address
2313 Route 715
Stroudsburg, PA 18360
Phone
(570) 629-4921
Fax
(570) 629-9221
NPI assigned
Feb 23, 2006
Last updated
Mar 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Mrs. Georgine M. Todd, PHYSICAL THERAPISTNPI 1073656161
Title
President
Phone
(570) 629-4921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT013394L PA Primary

Addresses

Primary practice location

2313 Route 715
Stroudsburg, PA 18360

Mailing address

PO Box 221
Reeders, PA 18352-0221
Phone (570) 629-4921

National Provider Directory

National Provider Directory

Locations

6280 Route 191
Cresco, PA 18326
Phone (570) 595-3301

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1902872773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221",
            "city": "REEDERS",
            "state": "PA",
            "postal_code": "183520221",
            "telephone_number": "570-629-4921",
            "fax_number": "570-629-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 ROUTE 715",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "18360",
            "telephone_number": "570-629-4921",
            "fax_number": "570-629-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNERSVILLE PHYSICAL THERAPY & WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "GEORGINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-629-4921",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013394L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.