Active NPI
Jane Wesolosky
- Physical Therapy Assistant
- Sarver, PA
National Provider Identifier
1053557728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TE002705L
- Practice address
- 252 Buffalo PLZ
Route 356
Sarver, PA 16055-8302 - Phone
- (724) 295-0066
- NPI assigned
- Dec 30, 2008
- 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 Therapy Assistant | 225200000X | TE002705L | PA | Primary |
Addresses
Primary practice location
252 Buffalo PLZ
Route 356
Sarver, PA 16055-8302
Mailing address
252 Buffalo PLZ
Sarver, PA 16055-8302
Phone (724) 295-0066
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 |
|---|---|---|---|
| TE002705L | PA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Network, LLC | Physical Therapy Assistant | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352764800000",
"number": "1053557728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 BUFFALO PLZ",
"city": "SARVER",
"state": "PA",
"postal_code": "160558302",
"telephone_number": "724-295-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 BUFFALO PLZ",
"address_2": "ROUTE 356",
"city": "SARVER",
"state": "PA",
"postal_code": "160558302",
"telephone_number": "724-295-0066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESOLOSKY",
"first_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-30",
"last_updated": "2012-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE002705L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.