PHYSICAL THERAPY SERVICES OF ERIE, LLC (NPI# 1598707838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598707838 |
| Entity Type | Organization |
| Organization Name | PHYSICAL THERAPY SERVICES OF ERIE, LLC |
| Practice Address |
2374 Village Common Dr Suite 101 Erie PA 16506-7201 |
| Mailing Address |
Po Box 9897 Erie PA 16505 |
| Practice Telephone | 8148350300 |
| Practice Fax Number | 8148350302 |
| Mailing Telephone | 8143976872 |
| Mailing Fax Number | 8148350302 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2016-11-21 |
| Authorized Official Name | DR. GLENN DANIEL LABROZZI (MANAGING MEMBER) |
| Authorized Official Telephone | 8143976872 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT006529L | PA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA BLUE SHIELD | 1302096 | 01 |
| PA | 0019443950003 | 05 |
| Street Address |
2374 VILLAGE COMMON DR SUITE 101 |
| City | ERIE |
| State | PA |
| Zip Code | 16506-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740268812 | William Paul Diefenbach | Neurological Surgery | 2374 Village Common Dr, Ste 100, Erie, PA 16506-7201 | 2006-01-09 |
| 1326298423 | Greater Erie Surgery Center, LLC | Clinic/Center | 2374 Village Common Dr, Suite 200, Erie, PA 16506-7201 | 2008-09-25 |
| 1073771515 | Jung-woo Ma | Physical Medicine & Rehabilitation | 2374 Village Common Dr, Suite 100, Erie, PA 16506-7201 | 2008-05-31 |
| 1215106323 | Tri-state Pain Institute LLC | Physical Medicine & Rehabilitation | 2374 Village Common Dr, Suite 100, Erie, PA 16506-7201 | 2008-02-22 |
| 1245271568 | Joseph Martin Thomas | Anesthesiology | 2374 Village Common Dr, Erie, PA 16506-7201 | 2006-06-09 |
| 1043250764 | Glenn Daniel Labrozzi | Physical Therapist | 2374 Village Common Dr, Suite 101, Erie, PA 16506-7201 | 2006-06-08 |
| 1114982543 | Mary K Benedict | Physical Therapist | 2374 Village Common Dr, Ste 100, Erie, PA 16506-7201 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
| 1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
| 1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
| 1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
| 1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
| 1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
| 1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
| 1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
| Find all providers in zip 16506 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437789740 | Kate Beer | Specialist | 3357 W 43rd St, Erie, PA 16506-4233 | 2020-01-26 |
| 1548666829 | Elizabeth Kennerknecht | Specialist | 2702 Cascade St, First Floor Front, Erie, PA 16508-1506 | 2014-11-13 |
| 1265735450 | Beth A. Mccartney | Specialist | 4109 W 28th St, Erie, PA 16506-1805 | 2010-12-10 |
| 1851602635 | Martha Amanda Watson | Specialist | 210 Fieldstone Way, Erie, PA 16505-5804 | 2010-06-28 |
| 1487885554 | Impact Physical Therapy LLC | Specialist | 5415 W Lake Rd, Erie, PA 16505-2841 | 2009-08-06 |
| 1437396603 | Sandra M. Lawrence | Specialist | 7520 Peach St, Erie, PA 16509-4715 | 2009-01-09 |
| 1336399633 | Tri-state Anesthesia Services, Inc. | Specialist | 444 W 8th St, Erie, PA 16502-1385 | 2008-09-23 |
| 1659544856 | Arthur Oligeri IIi | Specialist | 220 Millcreek Plz, 2070 Interchange Road, Erie, PA 16565-1102 | 2008-04-08 |
| 1033279120 | Laparoscopic & General Surgery Inc | Specialist | 5040 W Ridge Rd, Suite 208, Erie, PA 16506-1261 | 2006-12-11 |
| 1255425435 | Gerald Dion Garcia | Specialist | 4355 Peach St, Erie, PA 16509-1442 | 2006-10-03 |
| Find all providers in ERIE | ||||
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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.