NPIMap

Organization Active NPI

Erie County Care Management

  • Speech-Language Pathologist
  • Erie, PA
National Provider Identifier
1013035088
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ERIE COUNTY CARE MANAGEMENT
Practice address
155 W 8TH St
Erie, PA 16501-1012
Phone
(814) 451-8400
NPI assigned
Mar 27, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kris Petulla
Title
Administrative Officer
Phone
(814) 451-8400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

155 W 8TH St
Erie, PA 16501-1012

Mailing address

155 W 8TH St
Erie, PA 16501-1012

Other identifiers 1

IdentifierTypeStateIssuer
1017542210003MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Erie County Care Management5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

155 W 8th St
Erie, PA 16501
Phone (814) 451-8400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1013035088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011012",
            "telephone_number": "814-451-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE COUNTY CARE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-09-11",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "PETULLA",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "814-451-8400"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017542210003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.