Active NPI
Violeta Pesa, PT
- Physical Therapist
- Montoursville, PA
National Provider Identifier
1093190696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT023619
- Practice address
- 1445 Sycamore Rd
Montoursville, PA 17754-9519 - Phone
- (570) 601-8100
- NPI assigned
- Jul 23, 2015
- Sex
- Female
- 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 Therapist | 225100000X | PT023619 | PA | Primary |
Addresses
Primary practice location
1445 Sycamore Rd
Montoursville, PA 17754-9519
Mailing address
1600 Sycamore Rd Apt 11
Montoursville, PA 17754-9587
Phone (954) 803-7258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT023619 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Meadow Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Nevada Rehab Resources LLC | Physical Therapist | Current | Accepting new patients |
| Spring Mountain Rehab, LLC | Physical Therapist | Current | Accepting new patients |
Locations
5155 S Durango Dr
Ste 101
Las Vegas, NV 89113
Phone (702) 478-2424
Organizations & group practices 3
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
- Las Vegas, NV
- NPI 1043091473
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Las Vegas, NV
- NPI 1447257456
Physical Therapist
-
- Physical Therapist
- Las Vegas, NV
- NPI 1790560944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1093190696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 SYCAMORE RD APT 11",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177549587",
"telephone_number": "954-803-7258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 SYCAMORE RD",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177549519",
"telephone_number": "570-601-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESA",
"first_name": "VIOLETA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-23",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT023619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montoursville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.