OrganizationActive
Mount Nittany Medical Center
NPI 1235339243 · Prosthetic/Orthotic Supplier · State College, PA
Provider details
- NPI number
- 1235339243
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Bryan Roach, Cfo(814) 234-6148
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
120 Radnor Rd Ste 100
Mnmc - Orthotics
State College, PA 16801-7970
Phone: (814) 231-7125
Fax: (814) 238-4167
Street-level locationGet directions
Mailing address
155 Wellness Way
State College, PA 16803-6702
Other names (DBA / former)
- Doing business as
- Mount Nittany Medical Center Orthotics Supplier
- Doing business as
- Mount Nittany Medical Center Orthotics Supplier
Registry dates
- Enumerated
- 2007-07-19
- Last updated
- 2026-05-14
- Certified
- 2026-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.