SUSQUEHANNA PHYSICIAN SERVICES (NPI# 1982205472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982205472 |
| Entity Type | Organization |
| Organization Name | SUSQUEHANNA PHYSICIAN SERVICES |
| Practice Address |
416 S Main St Ste 1 Mansfield PA 16933-1510 |
| Mailing Address |
1201 Grampian Blvd Williamsport PA 17701-1900 |
| Practice Telephone | 5706621920 |
| Practice Fax Number | 5706621921 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | MELISSA DAVIS (VP/COO) |
| Authorized Official Telephone | 5703268544 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033345533 | Susquehanna Physician Services | Nurse Practitioner | 10 Shady Lane, Suite 201, Muncy, PA 17756-8807 | 2009-06-10 |
| 1477793172 | Susquehanna Physician Services | Physician Assistant | 1201 Grampian Blvd Ste 1a, Williamsport, PA 17701-1965 | 2009-02-20 |
| 1780603837 | Susquehanna Physician Services | Obstetrics & Gynecology | 2134 W 4th St, Williamsport, PA 17701-4344 | 2006-07-19 |
| 1083677868 | Susquehanna Physician Services | Internal Medicine | 700 High Street, Williamsport, PA 17701-3198 | 2006-04-11 |
| 1467453878 | Susquehanna Physician Services | Clinic/Center | 1112 Grampian Blvd, Williamsport, PA 17701-1909 | 2005-08-09 |
| 1578164943 | Susquehanna Physician Services | Podiatrist | 2370 Old Turnpike Rd Ste 4, Lewisburg, PA 17837-6567 | 2020-11-03 |
| 1962018135 | Susquehanna Physician Services | Family Medicine | 700 High St Fl 9, Williamsport, PA 17701-3100 | 2020-09-22 |
| 1992359798 | Susquehanna Physician Services | Emergency Medicine | 700 High St, Williamsport, PA 17701-3100 | 2019-07-30 |
| 1689905606 | Susquehanna Physician Services | Nurse Practitioner | 777 Rural Ave, Williamsport, PA 17701-3109 | 2010-01-15 |
| 1134455967 | Susquehanna Physician Services | Physician Assistant | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2009-10-29 |
| Street Address |
416 S MAIN ST STE 1 |
| City | MANSFIELD |
| State | PA |
| Zip Code | 16933-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316413420 | Kelsey A Bonham | Physical Therapist | 416 S Main St Ste 1, Mansfield, PA 16933-1510 | 2018-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174937916 | Kyle Ungvarsky | Family Medicine | 416 South Main Street, Mansfield, PA 16933 | 2014-06-19 |
| 1144451121 | Wellspring Community Support Services, Inc. | Clinic/Center | 3rd & St. James Street, St. James Complex #206b, Mansfield, PA 16933 | 2009-08-07 |
| 1417193707 | Roger Mark Stager | Dentist | 17 N Main St., Mansfield, PA 16933 | 2008-12-17 |
| 1477700185 | David Michael August | Psychiatry & Neurology | 103 A St James Place, Mansfield, PA 16933 | 2008-08-25 |
| 1043472525 | Martha Lloyd Crf Atf Trans | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Saint James Pl, Mansfield, PA 16933 | 2008-06-26 |
| 1518161520 | Elite Therapy PC | Physical Therapist | 285 South Main St., Mansfield, PA 16933 | 2007-06-13 |
| 1659591949 | Tioga County Dept of Human Services | Community/Behavioral Health | St James & Third Street, St James Complex Suite 103a, Mansfield, PA 16933 | 2007-04-27 |
| 1487779880 | Tioga County Dept of Human Services | Community/Behavioral Health | St. James & Third St., Mansfield, PA 16933 | 2007-03-21 |
| 1760507586 | Tioga County Dept of Human Services | Community/Behavioral Health | St. James Place Bldg. A, Mansfield, PA 16933 | 2007-03-20 |
| 1497895783 | Christopher David Jones | Physical Therapist | 285 S Main St, Mansfield, PA 16933 | 2007-02-07 |
| Find all providers in zip 16933 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801415690 | North Star Abdominopelvic Physical Therapy, LLC | Clinic/Center | 1475 Heritage Pkwy Ste 121, Mansfield, TX 76063-2739 | 2020-04-11 |
| 1447564596 | Markov 2 Inc. | Clinic/Center | 912 Tremont St, Mansfield, TX 76063-6071 | 2010-07-31 |
| 1841471976 | Spine and Sports Physical Therapy LLC | Clinic/Center | 150 Rumford Ave Apt 404, Mansfield, MA 02048-2150 | 2007-11-16 |
| 1124020979 | Physical Therapy of Mansfield,llc | Clinic/Center | 1580 Highway 287 N, 1580 Hwy 287 N, Mansfield, TX 76063-7593 | 2005-08-11 |
| 1114562295 | Your Therapy Company | Clinic/Center | 1159 Wyandotte Ave, Mansfield, OH 44906-1940 | 2019-11-12 |
| 1982118345 | Atlas Pt | Clinic/Center | 625 Cline Ave, Mansfield, OH 44907-1038 | 2017-11-21 |
| 1164963807 | Clt Rentals, LLC | Clinic/Center | 990 Highway 287 N, Suite 105, Mansfield, TX 76063-2607 | 2017-03-14 |
| 1457700551 | Tioga Health Care Providers, Inc | Clinic/Center | 416 S Main St, Mansfield, PA 16933-1510 | 2016-06-09 |
| 1871929323 | On The Go Therapy LLC | Clinic/Center | 109 N Main St, #102, Mansfield, OH 44902-7669 | 2013-09-16 |
| 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.