ELK REGIONAL PROFESSIONAL GROUP, INC (NPI# 1982073854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982073854 |
| Entity Type | Organization |
| Organization Name | ELK REGIONAL PROFESSIONAL GROUP, INC |
| Other Organization Name | PENN HIGHLANDS PROFESSIONAL GROUP |
| Practice Address |
763 Johnsonburg Rd Saint Marys PA 15857-3417 |
| Practice Telephone | 8147888000 |
| Mailing Telephone | 8143754200 |
| Mailing Fax Number | 8143754232 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2020-10-16 |
| Authorized Official Name | BRADLEY J CHAPMAN (PRESIDENT/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8147888550 |
| Is Organization Subpart | Y |
| Parent Organization Name | PENN HIGHLANDS HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001859285 | 05 | |
| PA | PTAN | 068150 | 01 |
| Other Name | Type Code |
|---|---|
| Penn Highlands Professional Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366439580 | Elk Regional Professional Group, Inc | Nurse Practitioner | 111 Cobb St, Johnsonburg, PA 15845-1209 | 2005-10-03 |
| 1336136720 | Elk Regional Professional Group, Inc | Family Medicine | 136 State St, St Marys, PA 15857-1626 | 2005-09-30 |
| 1497124374 | Elk Regional Professional Group, Inc | Clinic/Center | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2015-09-21 |
| 1821085044 | Elk Regional Professional Group, Inc | Physical Therapist | 761 Johnsonburg Rd, Suite 310, St Marys, PA 15857-3483 | 2005-10-03 |
| 1891782025 | Elk Regional Professional Group, Inc | Pathology | 763 Johnsonburg Rd, St Marys, PA 15857-3417 | 2005-10-03 |
| 1184611303 | Elk Regional Professional Group, Inc | Surgery | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2005-10-03 |
| 1801883020 | Elk Regional Professional Group, Inc | Physical Therapist | 763 Johnsonburg Rd, St Marys, PA 15857-3417 | 2005-10-03 |
| 1700873197 | Elk Regional Professional Group, Inc | Family Medicine | 177 Washington St, St Marys, PA 15857-1349 | 2005-09-30 |
| Street Address |
763 JOHNSONBURG RD |
| City | SAINT MARYS |
| State | PA |
| Zip Code | 15857-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588709 | Elk Regional Health Center | Skilled Nursing Facility | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2005-06-16 |
| 1700354867 | Kathryn Bauer | Physical Medicine & Rehabilitation | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2018-11-07 |
| 1457826414 | Amanda Rose Meyer | Physician Assistant | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2018-10-05 |
| 1144766858 | Rebecca Lynn Schlimm | Speech-Language Pathologist | 763 Johnsonburg Rd, Rehab Building, Saint Marys, PA 15857-3417 | 2017-01-19 |
| 1114460391 | Elk Regional Health Center | Emergency Medicine | 763 Johnsonburg Rd, Saint Marys, PA 15857 | 2016-11-21 |
| 1497124374 | Elk Regional Professional Group, Inc | Clinic/Center | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2015-09-21 |
| 1033587480 | Frank Bouch | Physical Therapist | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2015-09-02 |
| 1760859359 | Kristen Cobaugh | Physical Therapist | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2015-08-31 |
| 1609243195 | Anne Sorg Pistner | Occupational Therapist | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2015-08-31 |
| 1669849659 | Lynnette M Rupprecht | Physical Therapist | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2015-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255813945 | Emily Gregory | Occupational Therapist | Elk Haven, 785 Johnsonburg Road, Saint Marys, PA 15857 | 2018-08-30 |
| 1902324395 | Kylee Jo Proudfit | Specialist/Technologist | 575 Charles Street, Saint Marys, PA 15857 | 2017-09-06 |
| 1760829212 | Joshua Aaron Kuleck | Social Worker | 801 South Michael St., Cen Clear Child Services, Saint Marys, PA 15857 | 2013-05-23 |
| 1326215146 | St Marys Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 21 S Saint Marys St, Saint Marys, PA 15857 | 2008-05-12 |
| 1801075924 | James L Hackett Jr. | Internal Medicine | 1114 Windfall Road, St Marys, PA 15857 | 2007-10-25 |
| 1427261098 | Mary Kay O'conor | Radiologic Technologist | 346 Church St, St Marys, PA 15857 | 2007-05-08 |
| 1538205976 | Kelley A Mohney | Occupational Therapy Assistant | 211 Eckert Rd., St. Marys, PA 15857 | 2007-01-30 |
| 1851443824 | Joseph Jude Hawkins | Dentist | 1141 South Michael Road, St Marys, PA 15857 | 2007-01-18 |
| 1124190731 | Charles Richard Haskell Sr. | Dentist | 106 Wehler Road, Saint Marys, PA 15857 | 2006-11-15 |
| 1235229170 | Sharon Zaffarese-dippold | Social Worker | 145 Lafayette St Apt 1, Saint Marys, PA 15857 | 2006-10-13 |
| Find all providers in zip 15857 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851661045 | H2 Rehabilitation Services of Florida, LLC | Clinic/Center | 916 Kings Bay Road, Suite B, Suite A, Saint Marys, GA 31558-2745 | 2012-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1174120448 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 14953 Kutztown Rd Ste 1, Kutztown, PA 19530-8381 | 2020-10-08 |
| 1558979328 | Phs Physical Therapy, LLC | Clinic/Center | 2201 Brunswick Dr Ste 2400, Hanover, PA 17331-8350 | 2020-07-17 |
| 1043835705 | Reeves Physical Therapy LLC | Clinic/Center | 509 Spring Garden St, Philadelphia, PA 19123-2820 | 2020-06-09 |
| 1235751264 | Keystone Rehabilitation Systems, Inc. | Clinic/Center | 289 Cetronia Rd Unit 102, Allentown, PA 18104-9223 | 2020-05-13 |
| 1770105082 | Institute for Cognitive Prosthetics Inc | Clinic/Center | 346 Llandrillo Rd, Bala Cynwyd, PA 19004-2335 | 2020-05-08 |
| 1245877430 | Rehabclinics (spt), Inc. | Clinic/Center | 255 Main St Ste 120, King of Prussia, PA 19406-1509 | 2019-12-06 |
| 1457994253 | Phs Physical Therapy, LLC | Clinic/Center | 5815 York Rd, New Oxford, PA 17350-9464 | 2019-10-24 |
| 1710537097 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 19 W Highland Ave, Philadelphia, PA 19118-3309 | 2019-09-18 |
| 1902453343 | Rehabclinics (spt), Inc. | Clinic/Center | 2721 Street Rd Ste 2735, Bensalem, PA 19020-2810 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
| City | SAINT MARYS |
| Zip Code | 15857 |
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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.