Organization Active NPI

Pace Physical Therapy

  • Physical Therapy Clinic/Center
  • Dallas, PA
National Provider Identifier
1942354402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT005230L Issued in PA
Legal business name
PACE PHYSICAL THERAPY
Practice address
201 Memorial Hwy
Dallas, PA 18612-1240
Phone
(570) 675-8151
NPI assigned
Jan 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Jeffrey George Pace, L.P.T.NPI 1336364538
Title
Owner-Director
Phone
(570) 675-8151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT005230L PA Primary

Addresses

Primary practice location

201 Memorial Hwy
Dallas, PA 18612-1240

Mailing address

201 Memorial Hwy
Dallas, PA 18612-1240
Phone (570) 675-8151

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942354402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MEMORIAL HWY",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121240",
            "telephone_number": "570-675-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MEMORIAL HWY",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121240",
            "telephone_number": "570-675-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER-DIRECTOR",
        "authorized_official_telephone_number": "570-675-8151",
        "authorized_official_credential": "L.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT005230L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, 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.