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NPI Code Detail

MEDICARE: JOHNSONBURG PHYSICAL THERAPY & FITNESS CENTER INC

MEDICARE: JOHNSONBURG PHYSICAL THERAPY & FITNESS CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistDAPT000976PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780781914
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHNSONBURG PHYSICAL THERAPY & FITNESS CENTER INC
Provider Business Mailing Address
First Line : 81 CLARION ROAD
Second Line :
City : JOHNSONBURG
State : PA
Zip : 15845-1656
Country : US
Telephone Number : 814-965-5810
Fax Number : 814-965-2200
Provider Business Practice Location Address
First Line : 81 CLARION ROAD
Second Line :
City : JOHNSONBURG
State : PA
Zip : 15845-1656
Country : US
Telephone Number : 814-965-5810
Fax Number : 814-965-2200
Authorized Official
Title or Position : PRESIDENT
Name : MR. RAYMOND J BUTTERFIELD
Credential : PT
Telephone Number : 814-965-5810
Provider Enumeration Date : 09/20/2006
Last Update Date : 08/22/2020

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1003007592 — CAROLYN KARAFIATH MILLER PA-C
Practice Location Address:
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1790967107 — MR. RAYMOND JOHN BUTTERFILED PT
Practice Location Address:
81 CLARION RD , SUITE 6
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1710112073 — JULIE ANN SZYMANSKI CNM
Practice Location Address:
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15845-1656
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Practice Fax: 814-389-4142

Directions to “JOHNSONBURG PHYSICAL THERAPY & FITNESS CENTER INC ” Practice Location

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