VITZ MEDICAL LLC (NPI# 1336639244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336639244 |
| Entity Type | Organization |
| Organization Name | VITZ MEDICAL LLC |
| Other Organization Name | BACK IN ACTION PHYSICAL THERAPY |
| Practice Address |
504 1/2 Scranton Carbondale Hwy Mayfield PA 18433 |
| Mailing Address |
210 Pleasant View Dr Greenfield Township PA 18407-3923 |
| Practice Telephone | 5704986858 |
| Mailing Telephone | 5704986858 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |
| Authorized Official Name | MR. WILLIAM ROBERT VITZAKOVITCH (OWNER) |
| Authorized Official Telephone | 5704986858 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT-009794L | PA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Back In Action Physical Therapy | Doing Business As Name - Organization |
| Street Address |
504 1/2 SCRANTON CARBONDALE HWY |
| City | MAYFIELD |
| State | PA |
| Zip Code | 18433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831694991 | William Vitzakovitch | Physical Therapist | 504 1/2 Scranton Carbondale Hwy, Mayfield, PA 18407 | 2018-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265918940 | Andrew Brown's Drug Store, Inc. | Pharmacy | 5 Washington Ave, Suite One, Jermyn, PA 18433 | 2018-07-16 |
| 1538615380 | Peterjason Ligi | Dietitian, Registered | 122 5th St, Mayfield, PA 18433 | 2016-08-31 |
| 1215059001 | Patrick Thomas Hayes | Dentist | 314 Rushbrook St, Jermyn, PA 18433 | 2007-04-04 |
| 1033252523 | Sterling Pharmacy,inc. | Pharmacy | 547 Washington Ave, Jermyn, PA 18433 | 2007-02-14 |
| 1710090824 | Nancy Greer | Nurse Practitioner | 5 S Washington Avenue, Jermyn, PA 18433 | 2006-08-16 |
| 1164439006 | Scranton Temple Residency Program Faculty Service | Internal Medicine | 5 S. Washington Ave, Jermyn, PA 18433 | 2006-08-02 |
| 1205892999 | Bhupendra Rambhai Patel Sr. | Internal Medicine | 512 Lackawanna Avenue, Mayfield, PA 18433 | 2006-04-22 |
| 1164774261 | Theresa Micknick | Physician Assistant | 165 Fallbrook St, Carbondale, PA 18433 | 2012-10-12 |
| 1043522402 | Jumee Barooah | Internal Medicine | 5 S Washington Ave, Jermyn, PA 18433 | 2010-07-13 |
| 1497956411 | Gregg J. Novak | Internal Medicine | 5 S Washington Ave, Jermyn, PA 18433 | 2007-05-29 |
| Find all providers in zip 18433 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
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| 1811510936 | Ally Wellness LLC | Clinic/Center | 7 S 43rd St Apt 1, Philadelphia, PA 19104-3797 | 2020-05-22 |
| 1811516339 | Alyssa Haveson | Clinic/Center | 23 Sentinel Rd, Washington Crossing, PA 18977-1142 | 2020-04-14 |
| 1104455377 | Dizzy Brain and Balance Specialists LLC | Clinic/Center | 484 Maple Point Dr, Langhorne, PA 19047-1473 | 2020-04-08 |
| 1891326427 | Joshua David Finley | Clinic/Center | 918 Truepenny Rd, Media, PA 19063-1634 | 2020-02-02 |
| 1487285003 | Adamson Therapy Services, LLC | Clinic/Center | 35 S West St Ste B, Waynesburg, PA 15370-2029 | 2020-02-02 |
| 1538799796 | Sirona Therapy P.C. | Clinic/Center | 220 W Plum St Ste 335, Edinboro, PA 16412-2167 | 2020-01-16 |
| 1326683095 | Drayer Physical Therapy Institute LLC | Clinic/Center | 702 Creekside Ln, Lititz, PA 17543-6826 | 2019-11-16 |
| 1396380150 | Sfas Physical Therapy LLC | Clinic/Center | 347a Old Curry Hollow Rd, Pittsburgh, PA 15236-4608 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.