UPMC - NPI 1215817648 - Neuromusculoskeletal Medicine, Sports Medicine in Harrisburg, PA

Q: What is the provider's specialty?

The provider's specialty is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

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About Upmc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPMC (NPI 1215817648) is a healthcare organization registered as a neuromusculoskeletal medicine, sports medicine in Harrisburg, Pennsylvania and active in the NPI registry since September 2025. The organization lists Michelle D Williams, Authorization Coodinator, as its authorized official.

NPPES Registry Identity

NPI1215817648

Entity TypeOrganization

Primary Taxonomy204C00000X

Legal Business NameUPMC

Location Address4310 LONDONDERRY RD STE 202Harrisburg, PA 17109-5329

Mailing Address4310 Londonderry Rd Ste 202Harrisburg, PA 17109-5329 · (717) 791-2520 · Fax (717) 791-2520

Phone(717) 791-2520

Fax(717) 791-2520

Organization SubpartNo

Authorized OfficialMichelle D WilliamsAuthorization Coodinator · (717) 791-2520

Enumeration DateSeptember 5, 2025

NPPES CertifiedSeptember 5, 2025

✔ NPI 1215817648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code204C00000X

Definition

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/

4310 LONDONDERRY RD STE 202, Harrisburg, PA 17109

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP