Active NPI
Ernest J Sekerak, MPT, CSCS
- Physical Therapist
- Northern Cambria, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016823
- Practice address
- 1300 Philadelphia Ave
Suite 2
Northern Cambria, PA 15714-1166 - Phone
- (814) 948-8220
- Fax
- (814) 948-8223
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | PT016823 | PA | Primary |
Addresses
Primary practice location
1300 Philadelphia Ave
Suite 2
Northern Cambria, PA 15714-1166
Mailing address
1055 Shoemaker St
Nanty Glo, PA 15943-1248
Phone (814) 749-3355
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103726057 | Medicaid | PA | |
| 101379176 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1055 Shoemaker St
Nanty Glo, PA 15943-1248
Phone (814) 749-3355
1300 Philadelphia Ave
Suite 2
Northern Cambria, PA 15714-1166
Phone (814) 948-8220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016823 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zalivia LLC | Physical Therapist | Current | Accepting new patients |
| Mile-Level Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
1055 Shoemaker St
Nanty Glo, PA 15943
Phone (814) 749-3355
1300 Philadelphia Ave
Ste 2
Northern Cambria, PA 15714
Phone (814) 948-8220
Organizations & group practices 2
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.
-
- Physical Therapist
- Northern Cambria, PA
- NPI 1639336670
-
- Physical Therapist
- Bedford, PA
- NPI 1801800651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1063424349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 SHOEMAKER ST",
"city": "NANTY GLO",
"state": "PA",
"postal_code": "159431248",
"telephone_number": "814-749-3355",
"fax_number": "814-749-3362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 PHILADELPHIA AVE",
"address_2": "SUITE 2",
"city": "NORTHERN CAMBRIA",
"state": "PA",
"postal_code": "157141166",
"telephone_number": "814-948-8220",
"fax_number": "814-948-8223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEKERAK",
"first_name": "ERNEST",
"middle_name": "J",
"credential": "MPT, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT016823",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103726057",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101379176",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northern Cambria, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.