Individual provider Active NPI

Michelle L Kester, PT

  • Physical Therapist
  • White Oak, PA
National Provider Identifier
1114213808
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021111 Issued in PA
Practice address
1985 Lincoln Way
Rainbow Village Shopping Center
White Oak, PA 15131-2418
Phone
(412) 672-2352
Fax
(412) 672-2657
NPI assigned
Jun 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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 PT021111 PA Primary

Addresses

Primary practice location

1985 Lincoln Way
Rainbow Village Shopping Center
White Oak, PA 15131-2418

Mailing address

625 Lincoln Ave
Ste 107 Professional Plaza
Charleroi, PA 15022-2451
Phone (724) 483-1673

Other names 1

  • Michelle Mediate Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110829000521 PA Practitioner - Physical Therapist in Private Practice 6305016429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic and Sports Physical Therapy Associates, Inc.Group PAC ID 5890609887, 92 clinicians

Practice addresses (Care Compare)

1115 Lowry Ave
BLDG C
Jeannette, PA 15644-3000
Phone (724) 523-8809

625 Lincoln Ave
Suite 107
North Charleroi, PA 15022-2451
Phone (724) 483-4886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Associates Inc OT CurrentSince Jul 1, 2011 Accepting new patients
Orthopedic & Sports Physical Therapy Associates, Inc. Physical Therapist Current Accepting new patients
Orthopedic and Sports Physical Therapy Associates Inc Physical Therapist CurrentSince Jul 1, 2011 Accepting new patients

Locations

625 Lincoln Ave
Ste 107
North Charleroi, PA 15022
Phone (724) 483-4886

500 1st Ave
Pittsburgh, PA 15219
Phone (412) 807-7878

1985 Lincoln Way
White Oak, PA 15131
Phone (412) 421-5390

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.

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1114213808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE",
            "address_2": "STE 107 PROFESSIONAL PLAZA",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150222451",
            "telephone_number": "724-483-1673",
            "fax_number": "724-483-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 LINCOLN WAY",
            "address_2": "RAINBOW VILLAGE SHOPPING CENTER",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151312418",
            "telephone_number": "412-672-2352",
            "fax_number": "412-672-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTER",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MEDIATE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White Oak, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.