Physical Therapy Services of Hometown, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL THERAPY SERVICES OF HOMETOWN, INC.

Doing business as

Physical Therapy Specialists

Practice address

219 Claremont Ave
Tamaqua, PA 18252-4431

Phone

(570) 668-1889

Fax

(570) 668-6115

NPI assigned

Mar 23, 2006

Last updated

Mar 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Ann Gimbel, PT, DPT, CHTNPI 1215924873

Title

Treasurer

Phone

(570) 668-1889

Specialties & licenses 10

Addresses

Other identifiers 4

Other names 1

• Physical Therapy Specialists Doing business as

Locations

Practitioners 1

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.

• Mary Ann Gimbel, PT, CHT

  • Physical Therapist
  • Tamaqua, PA
  • NPI 1215924873
  Authorized official Same address or phone

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1912966250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 CLAREMONT AVE",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182524431",
            "telephone_number": "570-668-1889",
            "fax_number": "570-668-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 CLAREMONT AVE",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182524431",
            "telephone_number": "570-668-1889",
            "fax_number": "570-668-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SERVICES OF HOMETOWN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "GIMBEL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "570-668-1889",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, DPT, CHT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN",
            "identifier": "02424300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "544038",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02424300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "124450",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Peduto, PT
• Mounika Mukherjee Peethala
• Phoenix Rehabilitation and Health Services, Inc (Phoenix Rehabilitation)
• Physical Therapy Services of Hometown, Inc. (Physical Therapy Specialists)
• Physical Therapy Services of Hometown, Inc. (Physical Therapy Specialists)
• Shannon Clare Pirich, CRNP
• Wafa Qaiser, MD
• Kristina Renae Ramdial, MD
• Alexandra Rebuck, DO
• Retinovitreous Associates, LTD (Mid Atlantic Retina)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.