NPIMap

Organization Active NPI

Mishock Physical Therapy & Associates, LLC

  • Physical Therapist
  • Gilbertsville, PA
National Provider Identifier
1962428391
Registry record updated Jan 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012572L Issued in PA
Legal business name
MISHOCK PHYSICAL THERAPY & ASSOCIATES, LLC
Practice address
1806 Swamp Pike
Suite 100
Gilbertsville, PA 19525-9307
Phone
(610) 327-2600
Fax
(610) 327-9050
NPI assigned
Jul 15, 2006
Last updated
Jan 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2010

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

Authorized official

Name
Mrs. Michelle Lynn Mishock
Title
Administrator
Phone
(610) 327-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT012572L PA Primary

Addresses

Primary practice location

1806 Swamp Pike
Suite 100
Gilbertsville, PA 19525-9307

Mailing address

1806 Swamp Pike
Suite 100
Gilbertsville, PA 19525-9307
Phone (610) 327-2600

Other identifiers 2

IdentifierTypeStateIssuer
2372393000OtherPAINDEPENDENCE
1700467OtherHIGHMARK

National Provider Directory

National Provider Directory

Locations

1806 Swamp Pike
#100
Gilbertsville, PA 19525
Phone (610) 327-2600

Practitioners & affiliated clinicians

Practitioners 12

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264291200000",
    "number": "1962428391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 SWAMP PIKE",
            "address_2": "SUITE 100",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195259307",
            "telephone_number": "610-327-2600",
            "fax_number": "610-327-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 SWAMP PIKE",
            "address_2": "SUITE 100",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195259307",
            "telephone_number": "610-327-2600",
            "fax_number": "610-327-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISHOCK PHYSICAL THERAPY & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2010-01-24",
        "status": "A",
        "authorized_official_last_name": "MISHOCK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-327-2600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT012572L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE",
            "identifier": "2372393000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1700467",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbertsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2010; 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.