WILLIAMSPORT PHYSICAL MEDICINE, INC. (NPI# 1679841415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679841415 |
| Entity Type | Organization |
| Organization Name | WILLIAMSPORT PHYSICAL MEDICINE, INC. |
| Other Organization Name | NEUROPATHY CENTER OF NEPA |
| Practice Address |
1101 E 3rd St Williamsport PA 17701-5411 |
| Practice Telephone | 5703225500 |
| Practice Fax Number | 5703228100 |
| Mailing Telephone | 5703225500 |
| Mailing Fax Number | 5703228100 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | FRANK J FORTE (PRESIDENT) |
| Authorized Official Telephone | 5702875560 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLIAMSPORT PHYSICAL MEDICINE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN523038L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | MA052411 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | PA | Suppliers | |
| Y | 208D00000X | General Practice | MD433098 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE CROSS BLUE SHIELD | 2081099 | 01 |
| Other Name | Type Code |
|---|---|
| Neuropathy Center of NEPA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033487871 | Williamsport Physical Medicine, Inc. | Physical Therapist | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2011-12-08 |
| 1891063624 | Williamsport Physical Medicine, Inc. | Chiropractor | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2011-12-07 |
| 1881997005 | Williamsport Physical Medicine, Inc. | Durable Medical Equipment & Medical Supplies | 250 Pierce St, Suite 108, Kingston, PA 18704-5149 | 2010-12-09 |
| 1518123140 | Williamsport Physical Medicine, Inc. | Chiropractor | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2008-08-04 |
| Street Address |
1101 E 3RD ST |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-5411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225005408 | Linda M. Famiglio | Psychiatry & Neurology | 1101 E 3rd St, Williamsport, PA 17701 | 2006-03-07 |
| 1982069555 | Pain Recovery Center LLC | Pain Medicine | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2015-12-23 |
| 1588905723 | Gregory Famiglio, Md, LLC | Family Medicine | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2013-03-13 |
| 1821347667 | Donna M Rung | Technician, Other | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2012-09-07 |
| 1033487871 | Williamsport Physical Medicine, Inc. | Physical Therapist | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2011-12-08 |
| 1891063624 | Williamsport Physical Medicine, Inc. | Chiropractor | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2011-12-07 |
| 1518123140 | Williamsport Physical Medicine, Inc. | Chiropractor | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2008-08-04 |
| 1770747198 | Xiaping Xie | Psychiatry & Neurology | 1101 E 3rd St, Family Recoverey Solutions, Williamsport, PA 17701-5411 | 2008-07-15 |
| 1992908503 | Gregory Famiglio | Anesthesiology | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2007-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494798 | Heather L Levan | General Practice | 919 Gravel Pike, Palm, PA 18070-1204 | 2020-07-06 |
| 1124642996 | Wound Pros Medical Group | General Practice | 1500 Market Street 12th Floor, East Tower, Philadelphia, PA 19102-2152 | 2020-06-08 |
| 1861024390 | Daniel James Leonard IIi | General Practice | 397 Fifth Street, Nanty Glo, PA 15943 | 2020-02-12 |
| 1831755735 | Good Hope Health Center Corp | General Practice | 7712 Buist Ave, Philadelphia, PA 19153-1705 | 2019-05-15 |
| 1366008260 | Ltc Treatment Center Inc | General Practice | 7712 Buist Ave Apt B, Philadelphia, PA 19153-1705 | 2019-05-15 |
| 1003479825 | Marsha Frances Santangelo | General Practice | 107 Sawgrass Drive, Blue Bell, PA 19422 | 2019-04-17 |
| 1972072288 | Paula Alejandra Pino Pommer | General Practice | 3551 North Broad St., Philadelphia, PA 19140-4160 | 2018-11-15 |
| 1033686159 | Star Wellness Center, Inc | General Practice | 511 E 3rd St Ste 202, Bethlehem, PA 18015-2180 | 2018-10-26 |
| 1891277620 | Donald C. Cameron | General Practice | 718 Kennett Pike, Chadds Ford, PA 19317 | 2018-08-29 |
| 1124510888 | Healing Place Medical, P.C. | General Practice | 1600 Horizon Dr Ste 122123, Chalfont, PA 18914-4100 | 2018-05-30 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on WILLIAMSPORT PHYSICAL MEDICINE, INC..
| 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.