Active NPI
Courtney Mackowski, DPT
- Physical Therapist
- Erie, PA
National Provider Identifier
1013457167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT025741
- Practice address
- 3010 W Lake Rd
Erie, PA 16505-3849 - Phone
- (814) 833-2385
- NPI assigned
- Mar 7, 2017
- 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 Therapist | 225100000X | PT025741 | PA | Primary |
Addresses
Primary practice location
3010 W Lake Rd
Erie, PA 16505-3849
Mailing address
5304 Heidt Ave
Erie, PA 16509-3031
Phone (814) 460-7005
Other names 1
- Courtney Marie Rea
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 |
|---|---|---|---|
| PT025741 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1013457167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5304 HEIDT AVE",
"city": "ERIE",
"state": "PA",
"postal_code": "165093031",
"telephone_number": "814-460-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 W LAKE RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165053849",
"telephone_number": "814-833-2385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKOWSKI",
"first_name": "COURTNEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-07",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT025741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "REA",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}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 Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.