WILLIAMSPORT PHYSICAL MEDICINE, INC. (NPI# 1881997005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881997005 |
| Entity Type | Organization |
| Organization Name | WILLIAMSPORT PHYSICAL MEDICINE, INC. |
| Other Organization Name | NEUROPATHY CENTER OF NEPA |
| Practice Address |
250 Pierce St Suite 108 Kingston PA 18704-5149 |
| Mailing Address |
1101 E 3rd St Williamsport PA 17701-5411 |
| Practice Telephone | 5702875560 |
| Practice Fax Number | 5702871107 |
| Mailing Telephone | 5703225500 |
| Mailing Fax Number | 5703228100 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | FRANK J FORTE (PRESIDENT) |
| Authorized Official Telephone | 5703225500 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| Neuropathy Center of NEPA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679841415 | Williamsport Physical Medicine, Inc. | Nurse Practitioner | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2011-12-08 |
| 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 |
| Street Address |
250 PIERCE ST SUITE 108 |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-5149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415206 | Robert H Kammen | Psychologist | 250 Pierce St, Ste 214, Kingston, PA 18704-5149 | 2005-05-23 |
| 1780062877 | Lycoming Physical Medicine | Durable Medical Equipment & Medical Supplies | 250 Pierce St, Suite 103, Kingston, PA 18704-5149 | 2015-05-11 |
| 1356751580 | Lycoming Physical Medicine, PC | Durable Medical Equipment & Medical Supplies | 250 Pierce St, Suite 103, Kingston, PA 18704-5149 | 2014-04-28 |
| 1861669608 | Heather M Deluca | Naturopath | 250 Pierce St, Ste. 200, Kingston, PA 18704-5149 | 2008-05-12 |
| 1528246154 | Robert H. Kammen, Psy.d. | Psychologist | 250 Pierce St, Suite 214, Kingston, PA 18704-5149 | 2008-02-06 |
| 1104009711 | Susan F Sordoni, Md, PC | Clinic/Center | 250 Pierce St, Suite 115, Kingston, PA 18704-5149 | 2007-12-06 |
| 1417148289 | Keystone Neurosensory Centers,llc | Specialist/Technologist, Other | 250 Pierce St, Suite 317, Kingston, PA 18704-5149 | 2007-08-07 |
| 1972708857 | Susan F. Sordoni, Md PC | Family Medicine | 250 Pierce St, Suite 115, Kingston, PA 18704-5149 | 2007-06-19 |
| 1508985466 | Institute for Human Resources and Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 250 Pierce St, Suite 301, Kingston, PA 18704-5149 | 2007-03-29 |
| 1497809776 | Pulmonary Associates of Wyoming Valley Inc | Internal Medicine | 250 Pierce St, Suite 211, Kingston, PA 18704-5149 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821581604 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 250 Pierce St Ste 103, Kingston, PA 18704-5149 | 2018-06-07 |
| 1972091494 | Yvonne James Enterprises LLC | Durable Medical Equipment & Medical Supplies | 26129 Calvary Ln Ne Ste 200, Kingston, WA 98346-7405 | 2018-04-30 |
| 1265734859 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 416 Washington Avenue, Kingston, NY 12401 | 2010-12-02 |
| 1164755153 | Bg Management Group LLC | Durable Medical Equipment & Medical Supplies | 1284 Flatbush Road, Kingston, NY 12402 | 2009-09-09 |
| 1881753697 | Premier Home Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 285 Wyoming Ave, Kingston, PA 18704-3501 | 2006-12-07 |
| 1265505549 | The Diabetic Super Store Inc | Durable Medical Equipment & Medical Supplies | 164 E Race St, Kingston, TN 37763-2823 | 2006-11-16 |
| 1255417218 | 3-j Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 709 Highway 70 E, Kingston, OK 73439-8253 | 2006-10-31 |
| 1841373602 | Joy M. Bernhardt Dba Heritage Hills Discount Pharmacy | Durable Medical Equipment & Medical Supplies | 709 Highway 70 East, Ste. B, Kingston, OK 73439-0282 | 2006-10-23 |
| 1285733634 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 189 Summer St, Kingston, MA 02364-1247 | 2006-09-22 |
| 1871697623 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 1301 Ulster Ave, Kingston, NY 12401-1514 | 2006-09-12 |
| Find all providers in KINGSTON | ||||
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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.