Active NPI
Erica Deller
- Physical Therapy Assistant
- Butler, PA
National Provider Identifier
1003410192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TE1003904
- Practice address
- 142 Clearview Cir Ste 100
Butler, PA 16001-1565 - Phone
- (724) 285-5351
- NPI assigned
- Nov 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE1003904 | PA | Primary |
Addresses
Primary practice location
142 Clearview Cir Ste 100
Butler, PA 16001-1565
Mailing address
142 Clearview Cir Ste 100
Butler, PA 16001-1565
Phone (724) 285-5351
Other practice location 1
625 Walnut St
McKeesport, PA 15132-2806
Phone (412) 673-5005
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | erica.r.deller@upmcdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | erica.r.deller@upmcdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE1003904 | PA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Network, LLC | Physical Therapy Assistant | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1003410192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 CLEARVIEW CIR STE 100",
"city": "BUTLER",
"state": "PA",
"postal_code": "160011565",
"telephone_number": "724-285-5351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 CLEARVIEW CIR STE 100",
"city": "BUTLER",
"state": "PA",
"postal_code": "160011565",
"telephone_number": "724-285-5351"
}
],
"practiceLocations": [
{
"address_1": "625 Walnut St",
"address_purpose": "LOCATION",
"city": "McKeesport",
"state": "PA",
"postal_code": "151322806",
"country_code": "US",
"telephone_number": "412-673-5005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELLER",
"first_name": "ERICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE1003904",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "erica.r.deller@upmcdirect.com",
"affiliation": "N",
"endpointDescription": "secure UPMC direct address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "142 Clearview Cir Ste 100",
"city": "Butler",
"state": "PA",
"country_code": "US",
"postal_code": "160011565",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "erica.r.deller@upmcdirect.com",
"affiliation": "N",
"endpointDescription": "secure UPMC direct address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "625 Walnut St",
"city": "McKeesport",
"state": "PA",
"country_code": "US",
"postal_code": "151322806",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.