Michelle Lee Dennison, MSPT, DPT
Individual provider Active NPI Physical Therapist · Drums, PA
NPI 1992011241 · NPPES record last updated Aug 24, 2010
Key facts
- NPI
- 1992011241
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT017603 (PA)
- Practice address
- 773 Saint Johns Rd
Drums, PA 18222-1803 - Phone
- (570) 788-8320
- Fax
- (570) 788-8321
- NPI assigned
- Aug 24, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017603 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Years Intervention Services, Inc. | Physical Therapist | Past | Accepting new patients |
| LG Intervention Specialists, Inc. | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017603 | PA | Yes |
Addresses
Primary practice location
773 Saint Johns Rd
Drums, PA 18222-1803
Mailing address
115 Old Field Dr
Bloomsburg, PA 17815-8303
Phone (570) 317-5560
Other providers in Drums, PA
- Nicholas Patrick Coleman
- William J Cuttler
- Deborah J Mistal DO
- Diane Dellavella
- Deidre Deluca
- Anna Rose Marie Derewicz
- Robert Diienno
- Drums Rehabilitation Associates, PLLC
- Early Years Intervention Services, Inc.
- Sarah Mae Eisenman
All providers in Drums, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.