Mahoning Physical Therapy Inc

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT000800E Issued in PA

Legal business name

MAHONING PHYSICAL THERAPY INC

Practice address

405 Franklin St
Clymer, PA 15728-1174

Phone

(724) 254-1010

NPI assigned

Jul 14, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Agnes Fletcher, PTNPI 1891892113

Title

President

Phone

(724) 254-1010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• Mary Agnes Fletcher, MS,MSPT,OCS,ATC

  • Physical Therapist
  • Clymer, PA
  • NPI 1891892113
  Medicare reassignment NPD Authorized official
• Melissa Ann Gett, OTR/L

  • Occupational Therapist
  • Clymer, PA
  • NPI 1730457870
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1972501757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 FRANKLIN ST",
            "address_2": "P O BOX 153",
            "city": "CLYMER",
            "state": "PA",
            "postal_code": "157281174",
            "telephone_number": "724-254-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 FRANKLIN ST",
            "city": "CLYMER",
            "state": "PA",
            "postal_code": "157281174",
            "telephone_number": "724-254-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHONING PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "AGNES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-254-1010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT000800E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Gett, OTR/L
• Brandon Lee Haggerty, DPT
• Icarus Chiropractic LLC
• Indiana Regional Medical Center
• Claire Anne Kirsch, MS, LPC, NCC
• Mary Beth Marocline
• Mary Beth Marcoline
• Laura Rose Moore, PA-C
• Moving Moments Physical Therapy LLC
• Penns Manor Area School District

• Orthopedic Physical Therapist in Clymer, PA
• Providers in Clymer, PA by specialty
• Orthopedic Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.