Provider Demographics
NPI:1114989993
Name:ABLE THERAPY SERVICES, INC
Entity Type:Organization
Organization Name:ABLE THERAPY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:WHITNEY
Authorized Official - Last Name:SAKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:570-322-2251
Mailing Address - Street 1:2605 REACH RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-4181
Mailing Address - Country:US
Mailing Address - Phone:570-322-2251
Mailing Address - Fax:570-321-9504
Practice Address - Street 1:2605 REACH RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-4181
Practice Address - Country:US
Practice Address - Phone:570-322-2251
Practice Address - Fax:570-321-9504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADD1893OtherMEDICARE RAILROAD PROV #
PA50049988OtherCAPITAL BLUE CROSS
PADD1893OtherMEDICARE RAILROAD PROV #