INNOVATIVE PEDIATRIC THERAPY SERVICES LLC (NPI# 1629680319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629680319 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE PEDIATRIC THERAPY SERVICES LLC |
| Practice Address |
713 Bridge St Ste 23 Selinsgrove PA 17870-1250 |
| Mailing Address |
350 S Market St Selinsgrove PA 17870-1816 |
| Practice Telephone | 5702665181 |
| Mailing Telephone | 5082692747 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | ERIN MITRENKO (OWNER) |
| Authorized Official Telephone | 5702665181 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
713 BRIDGE ST STE 23 |
| City | SELINSGROVE |
| State | PA |
| Zip Code | 17870-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423565 | Mark Douglas Sanders | Optometrist | 217 Sweet Gum Road, Selinsgrove, PA 17870 | 2019-02-14 |
| 1700298767 | Jagdeep Goraya | Dentist | 2192 N Susquehanna Trail, Selinsgrove, PA 17870 | 2014-05-27 |
| 1750680880 | Bayada Home Health Care, Inc. | Home Health | 8 West Snyder Street, Selinsgrove, PA 17870 | 2011-03-15 |
| 1275850620 | Geisinger Medical Center | General Acute Care Hospital | 620 University Avenue, Selinsgrove, PA 17870 | 2010-04-26 |
| 1023253275 | Gregory Reese D.c | Chiropractor | 1372 N. Susq. Trl. Ste. 120, Selinsgrove, PA 17870 | 2008-12-02 |
| 1639349897 | Semian Surgical Associates LLC | Clinic/Center | One Commerce Avenue, Selinsgrove, PA 17870 | 2008-03-04 |
| 1225250376 | Grayson Selinsgrove Limited Partnership | Assisted Living Facility | 29 Grayson View Court, Selinsgrove, PA 17870 | 2007-05-02 |
| 1225166234 | Darla R. Miller, Dpm | Podiatrist | 1018 N Susquehanna Trail, Selinsgrove, PA 17870 | 2007-03-01 |
| 1578627626 | Susquehanna Valley Foot and Ankle Center, Inc | Podiatrist | 1018 North Susquehanna Trail, Selinsgrove, PA 17870 | 2006-12-21 |
| 1447319355 | Vision Max | Optometrist | 1026 N Susquehanna Trail, Selinsgrove, PA 17870 | 2006-12-06 |
| Find all providers in zip 17870 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820754 | The Nava Center, Inc. | Clinic/Center | 1334 S 18th St, Philadelphia, PA 19146-4647 | 2020-11-01 |
| 1376161828 | Cerner Health Connections, Inc | Clinic/Center | 1234 West Chester Pike, West Chester, PA 19382-5688 | 2020-07-10 |
| 1811514417 | Care Counseling & Children's Services LLC | Clinic/Center | 872 Pennsylvania St, Whitehall, PA 18052-7968 | 2020-06-30 |
| 1629694880 | Lancaster General Medical Group | Clinic/Center | 2112 Harrisburg Pike Ste 323, Lancaster, PA 17601-2644 | 2020-06-23 |
| 1225653496 | Aeo Pitt | Clinic/Center | 77 Hot Metal St, Pittsburgh, PA 15203-2382 | 2020-06-12 |
| 1174147656 | Paul Witt Do Pllc | Clinic/Center | 59 East Carey Street, Plains, PA 18705-1870 | 2020-06-01 |
| 1306469309 | Everest Pace Center Inc | Clinic/Center | 2602 W 9th St Ste 100, Chester, PA 19013-2089 | 2020-05-26 |
| 1225650930 | The Modern Country Doctor, LLC | Clinic/Center | 23 Industrial Blvd Ste D, Paoli, PA 19301-1601 | 2020-05-15 |
| 1013543099 | Rediclinic of Pa, LLC | Clinic/Center | 5707 Easton Rd, Pipersville, PA 18947-1823 | 2020-03-21 |
| 1598391328 | Indiana Healthcare Physician Services Inc | Clinic/Center | 81 Hillcrest Dr Ste 106, Punxsutawney, PA 15767-2605 | 2020-03-12 |
| Find all providers with the same taxonomy | ||||
| City | SELINSGROVE |
| Zip Code | 17870 |
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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.