DR. HEATHER MARIE MACK (NPI# 1467721803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467721803 |
| Entity Type | Individual |
| Full Name | DR. HEATHER MARIE MACK |
| Other Name | DR. HEATHER MARIE SHEARMAN |
| Credential | PT, DPT |
| Practice Address |
1454 Scalp Ave Johnstown PA 15904-3321 |
| Practice Telephone | 8142666651 |
| Mailing Telephone | 8142666651 |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2015-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT019138 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745898 | Heather Louise Mack | Counselor | 1400 Cleveland St, Greenville, SC 29607-2410 | 2020-03-12 |
| Street Address |
1454 SCALP AVE |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15904-3321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619931243 | Weldon R Lovely | Podiatrist | 1454 Scalp Ave, Suite 1, Johnstown, PA 15904-3321 | 2006-04-12 |
| 1013435148 | Abigail Crownover | Occupational Therapist | 1454 Scalp Ave, Johnstown, PA 15904-3321 | 2017-09-08 |
| 1679944052 | Courtney Gampe | Occupational Therapist | 1454 Scalp Ave, Johnstown, PA 15904-3321 | 2015-10-12 |
| 1457785792 | Rebecca Gibson | Physical Therapist | 1454 Scalp Ave, Johnstown, PA 15904-3321 | 2013-08-22 |
| 1710268800 | Jennifer Anne Bistline | Occupational Therapist | 1454 Scalp Ave, Johnstown, PA 15904-3321 | 2011-09-01 |
| 1598068603 | Charity Voland | Occupational Therapist | 1454 Scalp Ave, Johnstown, PA 15904-3321 | 2010-12-10 |
| 1073832861 | Camco Physical and Occupational Therapy, LLC | Specialist | 1454 Scalp Ave, Johnstown, PA 15904-3321 | 2010-05-19 |
| 1437477957 | Jill Ann Lehman | Community Health Worker | 1454 Scalp Ave, Suite 2, Johnstown, PA 15904-3321 | 2010-05-07 |
| 1912236522 | Lori Jayne Buynack | Contractor | 1454 Scalp Ave, Suite 2a, Johnstown, PA 15904-3321 | 2009-12-09 |
| 1659608388 | Renee Kathleen Gates | Physical Therapist | 1454 Scalp Ave, Johnstown, PA 15904 | 2009-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407368699 | Shari Mcclaren | Counselor | 1360 Eisenhower Blvd, Ste 404, Johnstown, PA 15904 | 2017-10-29 |
| 1881126928 | Pain Medicine of York, LLC | Anesthesiology | 136 Jaycee Dr Ste 10, Johnstown, PA 15904 | 2017-03-29 |
| 1841660750 | Danielle Nicole Malzi | Occupational Therapist | 222 Luray Avenue, Johnstown, PA 15904 | 2015-10-05 |
| 1710393715 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 622 Dermuth St., Johnstown, PA 15904 | 2014-07-10 |
| 1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
| 1508159021 | Patricia S Sauka | Social Worker | 865 Eisenhower Boulevard, Johnstown, PA 15904 | 2011-05-17 |
| 1962703520 | Nathaniel Brett Beatty | Audiologist-Hearing Aid Fitter | 141 Town Center Drive, Johnstown, PA 15904 | 2010-11-12 |
| 1831324607 | Medcare Equipment Company, LLC | Durable Medical Equipment & Medical Supplies | 150 Atlantic Street, Johnstown, PA 15904 | 2009-05-22 |
| 1467667766 | Mary Alice K Burtnett | Occupational Therapist | 345 Vo Tech Drive, Johnstown, PA 15904 | 2007-05-11 |
| 1871717280 | Beverly Janik | Counselor | 214 College Park Plaza, Johnstown, PA 15904 | 2007-04-13 |
| Find all providers in zip 15904 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757505 | Colorado Physical Therapy Specialists Pllc | Physical Therapist | 4435 Ronald Reagan Boulevard, Johnstown, CO 80534-6566 | 2019-12-16 |
| 1043529415 | Samantha J Gallup | Physical Therapist | 2-8 W Main St, Johnstown, NY 12095-2308 | 2010-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038105 | Kaitlyn Elizabeth Stoltz | Physical Therapist | 3 Jason Ct, Avondale, PA 19311-9734 | 2020-09-16 |
| 1902419146 | Jason Anthony Chippich | Physical Therapist | 171 Sheldon Ave, Pittsburgh, PA 15220-2638 | 2020-08-27 |
| 1023634128 | Growing Roots Pediatric Therapy | Physical Therapist | 169 Scott Ln, Venetia, PA 15367-1115 | 2020-06-24 |
| 1366092413 | Francine Seloi Mathis | Physical Therapist | 7064 Veronica Rd, Upper Darby, PA 19082-4111 | 2019-09-19 |
| 1588120083 | Lauren Ashley Mccullion | Physical Therapist | 2045 E Lizard Creek Rd, Lehighton, PA 18235-3720 | 2019-02-20 |
| 1629585104 | Kristine Daniels | Physical Therapist | 2271 Mcarthur Dr, Hatfield, PA 19440-3561 | 2018-01-05 |
| 1518476019 | Creative Solutions Therapy LLC | Physical Therapist | 2409 Beechtree Rd, Falls Creek, PA 15840-3807 | 2017-09-27 |
| 1255850095 | Paige Mary Fuller | Physical Therapist | 224 Rimmey Rd, Centre Hall, PA 16828-9217 | 2017-09-13 |
| 1780126961 | Alyssa Wennin | Physical Therapist | 1938 Bucktail Rd, Saint Marys, PA 15857-3224 | 2016-11-05 |
| 1811449960 | Cynthia Theresa Fehrle | Physical Therapist | 1113 Tremont Dr, Glenolden, PA 19036-1522 | 2016-10-25 |
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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.