Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PEDIATRIC AND ADULT THERAPY SERVICES
Active
Organization
PEDIATRIC AND ADULT THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE YANICK (VICE-PRESIDENT)
(570) 489-5561
Entity
Organization
Contact information
Practice address
851 COMMERCE BLVD, SUITE 107, DICKSON CITY, PA 18519-1677
(570) 489-5561
(570) 489-5563
Mailing address
851 COMMERCE BLVD, SUITE 107, DICKSON CITY, PA 18519-1677
(570) 489-5561
(570) 489-5563
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225400000X
Rehabilitation Practitioner
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000012340008
—
PA
Enumeration date
12/02/2005
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up