Provider Demographics
NPI:1760444848
Name:PADAMONSKY, WILLIAM J II (MPT)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:J
Last Name:PADAMONSKY
Suffix:II
Gender:M
Credentials:MPT
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Mailing Address - Street 1:5410 6TH AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-1217
Mailing Address - Country:US
Mailing Address - Phone:814-944-4400
Mailing Address - Fax:814-944-4430
Practice Address - Street 1:5410 6TH AVE STE 5
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-1217
Practice Address - Country:US
Practice Address - Phone:814-944-4400
Practice Address - Fax:814-944-4430
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2022-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAPT018015225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA123115R9XMedicare Oscar/Certification