Active NPI
Erica Lynn Bednarz, MSPT
- Physical Therapist
- Clarks Summit, PA
National Provider Identifier
1023657269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012846L
- Practice address
- 1001 Scenic Drive
Clarks Summit, PA 18411 - Phone
- (570) 259-6786
- NPI assigned
- Jan 6, 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 Therapist | 225100000X | PT012846L | PA | Primary |
Addresses
Primary practice location
1001 Scenic Drive
Clarks Summit, PA 18411
Mailing address
1001 Scenic Drive
Clarks Summit, PA 18411
Phone (570) 259-6786
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 |
|---|---|---|---|
| PT012846L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1023657269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SCENIC DRIVE",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "18411",
"telephone_number": "570-259-6786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SCENIC DRIVE",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "18411",
"telephone_number": "570-259-6786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDNARZ",
"first_name": "ERICA",
"middle_name": "LYNN",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-06",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT012846L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.