Individual provider Active NPI

Ernest J Sekerak, MPT, CSCS

  • Physical Therapist
  • Northern Cambria, PA
National Provider Identifier
1063424349
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016823 Issued in PA
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

Updated by the provider on May 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
103726057MedicaidPA
101379176MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000821 PA Practitioner - Physical Therapist in Private Practice 4486679354 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
PT016823PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zalivia LLC Physical Therapist CurrentSince Dec 1, 2007 Accepting new patients
Mile-Level Physical Therapy Physical Therapist PastSince Jul 1, 2011 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.

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.

Verify at the official NPI Registry.