Organization Active NPI

P&G Physical Therapy, Inc

  • Physical Therapist
  • Du Bois, PA
National Provider Identifier
1922079961
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008866L Issued in PA
Legal business name
P&G PHYSICAL THERAPY, INC
Practice address
602 W Dubois Ave
Du Bois, PA 15801-3905
Phone
(814) 375-6830
Fax
(814) 375-6832
NPI assigned
Jan 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Edward Lee Welch, MPT
Title
Owner
Phone
(814) 375-6830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT008866L PA Primary

Addresses

Primary practice location

602 W Dubois Ave
Du Bois, PA 15801-3905

Mailing address

602 W Dubois Ave
Du Bois, PA 15801-3905
Phone (814) 375-6830

National Provider Directory

National Provider Directory

Locations

602 W Dubois Ave
Du Bois, PA 15801
Phone (814) 375-6830

602 W Dubois Ave
Ste 1
Dubois, PA 15801
Phone (814) 375-6830

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1138492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922079961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W DUBOIS AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013905",
            "telephone_number": "814-375-6830",
            "fax_number": "814-375-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W DUBOIS AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013905",
            "telephone_number": "814-375-6830",
            "fax_number": "814-375-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&G PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-375-6830",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008866L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.