Active NPI
Mark Warren Kemp, PTA
- Physical Therapy Assistant
- Coraopolis, PA
National Provider Identifier
1063993343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TEI000025
- Practice address
- 951 Brodhead Rd
Coraopolis, PA 15108-2349 - Phone
- (412) 269-1101
- Fax
- (412) 269-4096
- NPI assigned
- Aug 24, 2018
- Sex
- Male
- 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 | TEI000025 | PR | Primary |
Addresses
Primary practice location
951 Brodhead Rd
Coraopolis, PA 15108-2349
Mailing address
360 Hart Dr
Crescent, PA 15046-4930
Phone (412) 330-9655
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 |
|---|---|---|---|
| TEI000025 | PR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1063993343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 HART DR",
"city": "CRESCENT",
"state": "PA",
"postal_code": "150464930",
"telephone_number": "412-330-9655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 BRODHEAD RD",
"city": "CORAOPOLIS",
"state": "PA",
"postal_code": "151082349",
"telephone_number": "412-269-1101",
"fax_number": "412-269-4096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "MARK",
"middle_name": "WARREN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-24",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PR",
"license": "TEI000025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coraopolis, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.