NPIMap

Organization Active NPI

Atlas Therapy Inc.

  • Physical Therapist
  • State College, PA
National Provider Identifier
1962715359
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATLAS THERAPY INC.
Practice address
3075 Enterprise Drive
Suite 200
State College, PA 16801
Phone
(814) 308-8482
Fax
(814) 308-8449
NPI assigned
Jul 14, 2010
Last updated
Dec 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Mr. Justin W Kurpeikis
Title
President and Ceo
Phone
(724) 612-9906

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

3075 Enterprise Drive
Suite 200
State College, PA 16801

Mailing address

3075 Enterprise Drive
Suite 200
State College, PA 16801
Phone (814) 308-8482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110329000437 PA Part B Supplier - Clinic/Group Practice 7113100181 Receives reassigned benefits from 4 practitioners
Practice locations: State College, PA

National Provider Directory

National Provider Directory

Locations

613 Valley View Blvd
#200
Altoona, PA 16602
Phone (814) 308-8482

474 Windmere Dr
Ste 100
State College, PA 16801
Phone (412) 523-7376

3075 Enterprise Dr
Ste 200
State College, PA 16801
Phone (814) 308-8482

Practitioners & affiliated clinicians

Practitioners 11

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": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1962715359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 ENTERPRISE DRIVE",
            "address_2": "SUITE 200",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16801",
            "telephone_number": "814-308-8482",
            "fax_number": "814-308-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 ENTERPRISE DRIVE",
            "address_2": "SUITE 200",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16801",
            "telephone_number": "814-308-8482",
            "fax_number": "814-308-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "KURPEIKIS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "724-612-9906",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.