OrganizationActive
Spine & Extremities Center, PC
NPI 1154075562 · Neuromusculoskeletal Medicine & OMM Physician · Clarion, PA
Provider details
- NPI number
- 1154075562
- Entity type
- Organization
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maureen Mills, Credentialing Specialist(814) 577-9385
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
457 S 5th Ave
Clarion, PA 16214-6011
Phone: (814) 227-5855
Street-level locationGet directions
Mailing address
Po Box 68
Osceola Mills, PA 16666-0068
Registry dates
- Enumerated
- 2022-02-05
- Last updated
- 2022-02-05
- Certified
- 2022-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.