Individual provider Active NPI

Nicole Marie Schrecengost, PT, DPT

  • Physical Therapist
  • Gibsonia, PA
National Provider Identifier
1083047039
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT023080 Issued in PA
Practice address
2400 Wildwood Rd
Gibsonia, PA 15044-6404
Phone
(412) 487-7771
Fax
(412) 487-7772
NPI assigned
Aug 14, 2013
Last updated
May 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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 PT023080 PA Primary

Addresses

Primary practice location

2400 Wildwood Rd
Gibsonia, PA 15044-6404

Mailing address

2801 Stanbridge St
Apt A519
East Norriton, PA 19401-1608
Phone (814) 316-1438

Other practice location 1

3950 William Penn Hwy
Murrysville, PA 15668-1870
Phone (724) 519-7722

Other practice location 2

1700 Pine St
Norristown, PA 19401-3040
Phone (610) 239-7100

Other identifiers 3

IdentifierTypeStateIssuer
103425812-0002MedicaidPA
PT023080OtherPASTATE LICENSE
103425812-0001MedicaidPA

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

LicenseStateTypeSpecialty
PT023080PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sensory Link , LLC Physical Therapist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1083047039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 STANBRIDGE ST",
            "address_2": "APT A519",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011608",
            "telephone_number": "814-316-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WILDWOOD RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150446404",
            "telephone_number": "412-487-7771",
            "fax_number": "412-487-7772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 William Penn Hwy",
            "address_purpose": "LOCATION",
            "city": "Murrysville",
            "state": "PA",
            "postal_code": "156681870",
            "country_code": "US",
            "telephone_number": "724-519-7722",
            "fax_number": "724-519-2910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Pine St",
            "address_purpose": "LOCATION",
            "city": "Norristown",
            "state": "PA",
            "postal_code": "194013040",
            "country_code": "US",
            "telephone_number": "610-239-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRECENGOST",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103425812-0002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT023080",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103425812-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.