Mount Nittany Medical Center
Prosthetic/Orthotic Supplier in State College, PA. Organization (NPI-2).
NPI number1235339243
StatusActive
Last updated in NPPESMay 14, 2026
Details
- NPI
- 1235339243
- Entity type
- Organization (NPI-2)
- Legal business name
- Mount Nittany Medical Center
- Organization subpart
- No
- Enumeration date
- Jul 19, 2007
- Certification date
- May 14, 2026
- Last updated
- May 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Other names
- Mount Nittany Medical Center Orthotics Supplier (Doing Business As)
Practice location
120 Radnor Rd Ste 100Mnmc - Orthotics
State College, PA 16801-7970
Phone 814-231-7125 · Fax 814-238-4167
Mailing address
155 Wellness WayState College, PA 16803-6702
Phone 814-231-7868 · Fax 814-231-7098
Authorized official
Bryan Roach
Cfo
8142346148
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