ELIZABETH BOYER-DERBACK (NPI# 1376829408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376829408 |
| Entity Type | Individual |
| Full Name | ELIZABETH BOYER-DERBACK |
| Practice Address |
3721 Crescent Ct W Whitehall PA 18052-3446 |
| Practice Telephone | 6108207667 |
| Practice Fax Number | 6108207671 |
| Mailing Telephone | 6108207667 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2015-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT021711 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3721 CRESCENT CT W |
| City | WHITEHALL |
| State | PA |
| Zip Code | 18052-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437122033 | Cynthia Miles | Specialist | 3721 Crescent Ct W, Whitehall, PA 18052-3446 | 2006-02-13 |
| 1124664180 | Jessica Lynn Ticchio | Speech-Language Pathologist | 3721 Crescent Ct W, Whitehall, PA 18052-3446 | 2019-11-25 |
| 1417447384 | Taylor Marie Huckfeldt | Physical Therapist | 3721 Crescent Ct W, Whitehall, PA 18052-3446 | 2018-05-15 |
| 1861980112 | Hannah K Moir | Speech-Language Pathologist | 3721 Crescent Ct W, Whitehall, PA 18052-3446 | 2018-04-23 |
| 1538560933 | Alanna Moire Holmgren | Occupational Therapist | 3721 Crescent Ct W, Whitehall, PA 18052 | 2014-09-04 |
| 1295176899 | Kelsey Miles | Physical Therapist | 3721 Crescent Ct W, Whitehall, PA 18052-3446 | 2013-07-11 |
| 1063785459 | Ashley Marie Merkel | Speech-Language Pathologist | 3721 Crescent Ct W, Whitehall, PA 18052-3446 | 2012-02-15 |
| 1922318708 | Leeann Bower | Occupational Therapist | 3721 Crescent Ct W, Whitehall, PA 18052-3446 | 2010-10-14 |
| 1336463694 | Andrea Eileen Long | Occupational Therapist | 3721 Crescent Ct W, Whitehall, PA 18052-3446 | 2010-03-16 |
| 1407183817 | Joy Dieffenderfer | Speech-Language Pathologist | 3721 Crescent Ct W, Whitehall, PA 18052-3446 | 2009-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228870 | Alexandra Podlesny | Family Medicine | 1401 Fairmount St, Whitehall, PA 18052 | 2020-06-05 |
| 1346894805 | Christopher Guidon | Physician Assistant | 2402 Macarthur Rd., Whitehall, PA 18052 | 2019-08-01 |
| 1255824314 | Kenneth C Fulton-resig | Counselor | 4772 Main Street, Whitehall, PA 18052 | 2018-06-12 |
| 1023505294 | St. Luke's Physician Group, Inc. | Internal Medicine | 2416 3rd Avenue, Whitehall, PA 18052 | 2018-04-13 |
| 1831617869 | Veronica Taylor | Specialist | 4150 Red Bud Dr W, Whitehall, PA 18052 | 2017-08-30 |
| 1467800466 | Princy Ann Koshy | Family Medicine | 3691 Crescent Ct E Ste 201, Whitehall, PA 18052 | 2016-05-31 |
| 1649642612 | Renae N Defreitas | Nurse Practitioner | 2402 Macarthur Rd, Whitehall, PA 18052 | 2015-10-29 |
| 1063718856 | Christy Lynn Kroboth | Registered Nurse | 3000 Fellowship Drive, Whitehall, PA 18052 | 2011-01-27 |
| 1003134818 | Bruce C Trout | Pharmacist | 3671 Crescent Ct E., Whitehall, PA 18052 | 2010-05-04 |
| 1982921359 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 400 Lehigh Valley Mall, Whitehall, PA 18052 | 2010-04-26 |
| Find all providers in zip 18052 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417447384 | Taylor Marie Huckfeldt | Physical Therapist | 3721 Crescent Ct W, Whitehall, PA 18052-3446 | 2018-05-15 |
| 1790964492 | Rachael Marie Weitknecht | Physical Therapist | 3721 Crescent Ct W, Whitehall, PA 18052-3446 | 2007-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038105 | Kaitlyn Elizabeth Stoltz | Physical Therapist | 3 Jason Ct, Avondale, PA 19311-9734 | 2020-09-16 |
| 1902419146 | Jason Anthony Chippich | Physical Therapist | 171 Sheldon Ave, Pittsburgh, PA 15220-2638 | 2020-08-27 |
| 1023634128 | Growing Roots Pediatric Therapy | Physical Therapist | 169 Scott Ln, Venetia, PA 15367-1115 | 2020-06-24 |
| 1366092413 | Francine Seloi Mathis | Physical Therapist | 7064 Veronica Rd, Upper Darby, PA 19082-4111 | 2019-09-19 |
| 1588120083 | Lauren Ashley Mccullion | Physical Therapist | 2045 E Lizard Creek Rd, Lehighton, PA 18235-3720 | 2019-02-20 |
| 1629585104 | Kristine Daniels | Physical Therapist | 2271 Mcarthur Dr, Hatfield, PA 19440-3561 | 2018-01-05 |
| 1518476019 | Creative Solutions Therapy LLC | Physical Therapist | 2409 Beechtree Rd, Falls Creek, PA 15840-3807 | 2017-09-27 |
| 1255850095 | Paige Mary Fuller | Physical Therapist | 224 Rimmey Rd, Centre Hall, PA 16828-9217 | 2017-09-13 |
| 1780126961 | Alyssa Wennin | Physical Therapist | 1938 Bucktail Rd, Saint Marys, PA 15857-3224 | 2016-11-05 |
| 1811449960 | Cynthia Theresa Fehrle | Physical Therapist | 1113 Tremont Dr, Glenolden, PA 19036-1522 | 2016-10-25 |
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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.