Kelly Maine, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT022904 Issued in PA

Practice address

2111 W 8TH St
Erie, PA 16505-4707

Phone

(814) 456-5151

Fax

(814) 878-2911

NPI assigned

Sep 9, 2013

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grand Island Physical Therapy PC

  • Physical Therapist
  • Grand Island, NY
  • NPI 1902866536
  Medicare reassignment NPD
• Stern at Home Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NY
  • NPI 1720563380

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1104251271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 TONAWANDA CREEK RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054707",
            "telephone_number": "814-456-5151",
            "fax_number": "814-878-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINE",
        "first_name": "KELLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Mahoney, PT, CHT
• Tricia Mahoney, PT
• W Kevin Mahoney, DMD
• Kathy Marie Mahood, M.A.
• Robert L Mailliard, PSYCHOLOGIST
• Lisa Anne Mainier, PHD, D.O.
• Henry F Malarkey IV, MD
• Michael Maldonado, CRNA
• Arjun Suresh Malhotra, DO
• Amaar Malik, DO

• Physical Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.

Verify at the official NPI Registry.