Individual provider Active NPI

Belisa Ivonne Saavedra-Kinnard, DPT

  • Physical Therapist
  • Lancaster, PA
National Provider Identifier
1013210541
Registry record updated Dec 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021013 Issued in PA
Practice address
336 S West End Ave
Lancaster, PA 17603-5043
Phone
(717) 393-0419
NPI assigned
Dec 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT021013 PA Primary

Addresses

Primary practice location

336 S West End Ave
Lancaster, PA 17603-5043

Mailing address

101 E State St
Kennett Square, PA 19348-3109
Phone (610) 444-6350

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1291507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291507200000",
    "number": "1013210541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-444-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S WEST END AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176035043",
            "telephone_number": "717-393-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAVEDRA-KINNARD",
        "first_name": "BELISA",
        "middle_name": "IVONNE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-05",
        "last_updated": "2010-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2010; 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.