Healthcare Provider Details

I. General information

NPI: 1285644807
Provider Name (Legal Business Name): CMPT ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 W VENANGO ST
MERCER PA
16137-1083
US

IV. Provider business mailing address

4 GREENVILLE ORTHOPEDIC CTR
GREENVILLE PA
16125-1210
US

V. Phone/Fax

Practice location:
  • Phone: 724-661-1644
  • Fax: 724-662-1645
Mailing address:
  • Phone: 724-588-9680
  • Fax: 724-588-9697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0014933470010
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 2
Identifier661191
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHIGHMARK

VIII. Authorized Official

Name: MR. LAWRENCE RICHARD POWERS
Title or Position: MANAGING PARTNER
Credential:
Phone: 724-588-9680