Organization
PENN STATE HEALTH MEDICAL GROUP, LLC
Active
Organization
PENN STATE HEALTH MEDICAL GROUP, LLC
Active
Parent organization
PENN STATE HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN STATE HEALTH
Authorized official
TRACY L MOYER-SWINKO (VP/CHIEF FINANCIAL OFFICER)
(717) 531-8477
Entity
Organization
Contact information
Practice address
2494 BERNVILLE RD STE 200, READING, PA 19605-9467
(610) 378-2996
(610) 208-8812
Mailing address
PO BOX 825972, PHILADELPHIA, PA 19182-5972
(717) 531-4859
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
02/13/2022
Last updated
07/29/2026
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