Active NPI
P&G Physical Therapy, Inc
- Physical Therapist
- Du Bois, PA
National Provider Identifier
1922079961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008866L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.
-
- Physical Therapist
- Du Bois, PA
- NPI 1093777179
-
- Physical Therapist
- Newnan, GA
- NPI 1316926652
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.