Provider Demographics
NPI:1609870575
Name:FRANKLIN PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:FRANKLIN PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:814-437-5600
Mailing Address - Street 1:631 12TH ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-1440
Mailing Address - Country:US
Mailing Address - Phone:814-437-5600
Mailing Address - Fax:814-432-7400
Practice Address - Street 1:631 12TH ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-1440
Practice Address - Country:US
Practice Address - Phone:814-437-5600
Practice Address - Fax:814-432-7400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA225100000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018803960002Medicaid
PA065304OtherHIGHMARK GROUP PROV. #
PA208593OtherUPMC GROUP PROV. #
PA340583OtherHEALTH AMERICA GROUP #
PA=========3001OtherTRICARE GROUP PROV. #
PA065304OtherHIGHMARK GROUP PROV. #