Active NPI
Kelsey Mikolics, PT, DPT
- Physical Therapist
- Greensburg, PA
National Provider Identifier
1023753613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT028731
- Practice address
- 2480 S Grande Blvd
Greensburg, PA 15601-8902 - Phone
- (724) 830-4000
- NPI assigned
- Apr 28, 2022
- Last updated
- Apr 28, 2022
- 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 | PT028731 | PA | Primary |
Addresses
Primary practice location
2480 S Grande Blvd
Greensburg, PA 15601-8902
Mailing address
536 Moray LN
Greenock, PA 15047-1134
Phone (412) 992-0409
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 |
|---|---|---|---|
| PT028731 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1023753613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 MORAY LN",
"city": "GREENOCK",
"state": "PA",
"postal_code": "150471134",
"telephone_number": "412-992-0409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 S GRANDE BLVD",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156018902",
"telephone_number": "724-830-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKOLICS",
"first_name": "KELSEY",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-28",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT028731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.