Kathleen McDonald

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

TEI005304 Issued in PA

Practice address

64 Ridgway Dr
Dallas, PA 18612-9263

Phone

(570) 255-4578

NPI assigned

Sep 10, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cip Rehabilitation Inc

  • Occupational Therapist
  • Dallas, PA
  • NPI 1669963039
  NPD (past)

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1083595441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 LILY LAKE RD",
            "city": "WAPWALLOPEN",
            "state": "PA",
            "postal_code": "186608842",
            "telephone_number": "570-255-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 RIDGWAY DR",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186129263",
            "telephone_number": "570-255-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "TEI005304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucille B Madeira, BS, COUNSEL DIPLOMA
• Alexis A Maier, OTR/L MS
• Norman Francis Marek, D.C.
• Jessica Alyssa Martin
• Maybrook-P Lakeside Opco, LLC
• Alyssa Lauren McEntee, M.S. CCC-SLP
• Frances McGlynn, CRNP
• Margaret Mary McGowan, PT
• Leonard Carl Medura Sr., D.D.S
• Dana Ann Menzel, PT

• Physical Medicine & Rehabilitation Physician in Dallas, PA
• Providers in Dallas, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.