IMG PT (NPI# 1427290394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427290394 |
| Entity Type | Organization |
| Organization Name | IMG PT |
| Practice Address |
805 N Richmond St Suite 103 Fleetwood PA 19522-1058 |
| Mailing Address |
48 Tunnel Rd Suite 203 Pottsville PA 17901-3875 |
| Practice Telephone | 6109440464 |
| Practice Fax Number | 6109440465 |
| Mailing Telephone | 5706225455 |
| Mailing Fax Number | 5706225493 |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |
| Authorized Official Name | MR. JOSEPH C. PILLUS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5706225455 |
| Is Organization Subpart | Y |
| Parent Organization Name | INTEGRATED MEDICAL GROUP, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
805 N RICHMOND ST SUITE 103 |
| City | FLEETWOOD |
| State | PA |
| Zip Code | 19522-1058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346235041 | Commonwealth Primary Care, P.C. | Family Medicine | 805 N Richmond St, Fleetwood, PA 19522-1031 | 2005-09-19 |
| 1174092191 | Kirsten Debra Eisenhower | Nurse Practitioner | 805 N Richmond St, Fleetwood, PA 19522-1058 | 2018-11-20 |
| 1780108753 | Kelsey Ann Pfeiffenberger | Registered Nurse | 805 N Richmond St, Fleetwood, PA 19522-1058 | 2017-08-01 |
| 1205363306 | Rebecca Ann Neri | Registered Nurse | 805 N Richmond St, Fleetwood, PA 19522-1058 | 2017-05-19 |
| 1912432030 | Valerie Ann Finlan | Nurse Practitioner | 805 N Richmond St, Fleetwood, PA 19522-1058 | 2017-04-26 |
| 1184076663 | Integrated Medical Group, PC | Nurse Practitioner | 805 N Richmond St, Fleetwood, PA 19522-1058 | 2016-07-07 |
| 1619326667 | Brittany Moore | Nurse Practitioner | 805 N Richmond St, Fleetwood, PA 19522-1058 | 2016-06-10 |
| 1164830154 | Jessica Momose | Nurse Practitioner | 805 N Richmond St, Fleetwood, PA 19522-1058 | 2014-07-23 |
| 1922432624 | Angela R Krick | Nurse Practitioner | 805 N Richmond St, Fleetwood, PA 19522-1058 | 2013-08-29 |
| 1235495128 | Michelle Lee | Dentist | 805 N Richmond St, Suite 102, Fleetwood, PA 19522-1058 | 2012-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915803 | Brenna Fehr | Counselor | Concern Counseling, 1 W Main Street, Fleetwood, PA 19522 | 2020-09-08 |
| 1689217192 | Deidre Folk | Social Worker | 22 North Franklin Street, Fleetwood, PA 19522 | 2019-10-28 |
| 1518430529 | Victoria Ladawnna Gunther | Social Worker | 22-24 N. Franklin Street, Fleetwood, PA 19522 | 2019-01-03 |
| 1043742828 | Jill Wynne Sober | Counselor | 22-24 N. Franklin St, Fleetwood, PA 19522 | 2017-03-30 |
| 1750824520 | Clarissa Hummel Clare | Clinic/Center | 22-24 N Franklin St, Fleetwood, PA 19522 | 2016-11-29 |
| 1013308345 | Pierre Vernon Cooper | Social Worker | 22-24 N. Franklin Sttreet, Fleetwood, PA 19522 | 2015-02-09 |
| 1235536244 | Miriam Wonnie | Psychologist | One West Main Street, Fleetwood, PA 19522 | 2014-11-20 |
| 1497004972 | Lori Lee Christman | Occupational Therapist | 436 Hartz Road, Fleetwood, PA 19522 | 2012-08-30 |
| 1952661159 | Jane Csir Hoopes | Social Worker | 22-24 N. Franklin St., Fleetwood, PA 19522 | 2012-05-22 |
| 1821388042 | Jennifer Derecola | Massage Therapist | 14128 Kutztown Rd., Fleetwood, PA 19522 | 2011-04-08 |
| Find all providers in zip 19522 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134559248 | Melissa Ann Broad | Physical Therapist | 3130 Pricetown Rd Ste B, Fleetwood, PA 19522-8750 | 2013-11-26 |
| 1861644007 | Angela Schonberg | Physical Therapist | 485 Gramatan Ave Apt 1k, Fleetwood, NY 10552-2922 | 2008-10-21 |
| 1992705511 | Eric Alan Parrish | Physical Therapist | 805 N Richmond St Ste 103, Fleetwood, PA 19522-1059 | 2005-07-26 |
| 1356340194 | Kimberly Anne Gilbert | Physical Therapist | 101 S Richmond St, Fleetwood, PA 19522-1510 | 2005-07-14 |
| 1588115448 | Kimberly Hoye | Physical Therapist | 14351 Kutztown Rd, Fleetwood, PA 19522-9273 | 2016-10-17 |
| 1144777053 | Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | 3130 Pricetown Rd, Suite B, Fleetwood, PA 19522-8750 | 2016-09-08 |
| 1023448149 | Michelle Rohrbach | Physical Therapist | 3130 Pricetown Rd, Suite B, Fleetwood, PA 19522-8750 | 2013-11-27 |
| 1780651091 | Christopher Scott Gordos | Physical Therapist | 805 N Richmond St, Suite 103, Fleetwood, PA 19522-1058 | 2006-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801857 | Laura Hackman | Physical Therapist | 165 Glen Dr Ste 8, Manchester, PA 17345-1336 | 2020-11-06 |
| 1245831866 | Sara M Feldman | Physical Therapist | 3401 N Broad St # D101, Philadelphia, PA 19140-5103 | 2020-11-02 |
| 1386244093 | Melissa Ann Volk | Physical Therapist | 621 Muhlenberg Dr, Trappe, PA 19426-2261 | 2020-10-30 |
| 1700485273 | Persevere Physical Therapy LLC | Physical Therapist | 1607 W Susquehanna Ave, Philadelphia, PA 19121-1619 | 2020-10-25 |
| 1942809579 | Aaron John Sacks | Physical Therapist | 839 Lincoln Ave # 3, West Chester, PA 19380-4562 | 2020-10-24 |
| 1891394441 | Penn State Health Community Medical Group, LLC | Physical Therapist | 1800 Center St Ste 1a110, Camp Hill, PA 17011-1702 | 2020-10-23 |
| 1235738907 | Lauren Nicole Haber | Physical Therapist | 13018 Sewell Rd, Philadelphia, PA 19116-1319 | 2020-10-22 |
| 1346849247 | Marissa Harrigan | Physical Therapist | 526 Cassingham Rd, Fairless Hills, PA 19030-3620 | 2020-10-21 |
| 1407455488 | Paul Canty Jr. | Physical Therapist | 7345 Frankford Ave, Philadelphia, PA 19136-3930 | 2020-10-21 |
| 1942809199 | Kristina Fleck | Physical Therapist | 1000 Carlisle St Ste 1175, Hanover, PA 17331-1191 | 2020-10-20 |
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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.