Healthcare Provider Details

I. General information

NPI: 1730634148
Provider Name (Legal Business Name): MICHAEL MAY II PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2016
Last Update Date: 04/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813 LAUREL CREEK DR
DICKSON CITY PA
18519-1498
US

IV. Provider business mailing address

813 LAUREL CREEK DR
DICKSON CITY PA
18519-1498
US

V. Phone/Fax

Practice location:
  • Phone: 570-687-3535
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberPT025359
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT292252
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: