180 PHYSICAL THERAPY, INC. (NPI# 1245476118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245476118 |
| Entity Type | Organization |
| Organization Name | 180 PHYSICAL THERAPY, INC. |
| Other Organization Name | 180 PHYSICAL THERAPY |
| Practice Address |
3740 Sterrettania Rd Erie PA 16506 |
| Mailing Address |
3740 Sterrettania Rd Erie PA 16506-2829 |
| Practice Telephone | 8148389180 |
| Practice Fax Number | 8148386180 |
| Mailing Telephone | 8148389180 |
| Mailing Fax Number | 8148386180 |
| Enumeration Date | 2008-12-26 |
| Last Update Date | 2018-06-06 |
| Authorized Official Name | MR. JOHN DEANGELO (PRESIDENT) |
| Authorized Official Telephone | 8145042973 |
| Authorized Official Credential | MPT, ATC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT018397 | PA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| 180 Physical Therapy | Doing Business As Name - Organization |
| Street Address |
3740 STERRETTANIA RD |
| City | ERIE |
| State | PA |
| Zip Code | 16506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093898363 | John Mark Deangelo | Physical Therapist | 3740 Sterrettania Rd, Erie, PA 16506-2829 | 2006-10-23 |
| 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 | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174168272 | Integral Physical Therapy Pllc | Clinic/Center | 671 Mitchell Way Ste 208, Erie, CO 80516-5446 | 2019-11-12 |
| 1376965863 | Flatirons Physical Therapy, LLC | Clinic/Center | 1010 Carbon Ct Unit F, Erie, CO 80516-8403 | 2014-01-17 |
| 1023068095 | Janann Turner | Clinic/Center | 8155 Oliver Rd, Erie, PA 16509-4683 | 2006-05-11 |
| 1144229030 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 1717 East 38th Street, Erie, PA 16504-2920 | 2005-07-21 |
| 1265049183 | Metropolitan Physical Therapy | Clinic/Center | 1010 Carbon Ct Unit F, Erie, CO 80516-8403 | 2020-09-24 |
| 1124506662 | Occupational Health Centers of Southwest P.a. | Clinic/Center | 3010 W Lake Rd, Erie, PA 16505-3849 | 2018-08-06 |
| 1427580836 | Niagara Therapy, LLC | Clinic/Center | 2631 W 8th St, Erie, PA 16505-4034 | 2017-04-03 |
| 1184174435 | Keystone Rehabilitation Systems, Inc. | Clinic/Center | 5930 Old French Rd, Erie, PA 16509-3656 | 2016-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827835 | Move More LLC | Clinic/Center | 630 Meadow Ln, Harleysville, PA 19438-1639 | 2020-09-26 |
| 1649898073 | Trinity Rehab Somerset Pa | Clinic/Center | 2826 S Eagle Rd # No1-21, Newtown, PA 18940-1543 | 2020-07-13 |
| 1811510936 | Ally Wellness LLC | Clinic/Center | 7 S 43rd St Apt 1, Philadelphia, PA 19104-3797 | 2020-05-22 |
| 1811516339 | Alyssa Haveson | Clinic/Center | 23 Sentinel Rd, Washington Crossing, PA 18977-1142 | 2020-04-14 |
| 1104455377 | Dizzy Brain and Balance Specialists LLC | Clinic/Center | 484 Maple Point Dr, Langhorne, PA 19047-1473 | 2020-04-08 |
| 1891326427 | Joshua David Finley | Clinic/Center | 918 Truepenny Rd, Media, PA 19063-1634 | 2020-02-02 |
| 1487285003 | Adamson Therapy Services, LLC | Clinic/Center | 35 S West St Ste B, Waynesburg, PA 15370-2029 | 2020-02-02 |
| 1538799796 | Sirona Therapy P.C. | Clinic/Center | 220 W Plum St Ste 335, Edinboro, PA 16412-2167 | 2020-01-16 |
| 1326683095 | Drayer Physical Therapy Institute LLC | Clinic/Center | 702 Creekside Ln, Lititz, PA 17543-6826 | 2019-11-16 |
| 1396380150 | Sfas Physical Therapy LLC | Clinic/Center | 347a Old Curry Hollow Rd, Pittsburgh, PA 15236-4608 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
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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.