Individual provider Active NPI

Dorothy Marie Witt, PT

  • Physical Therapist
  • Roaring Spring, PA
National Provider Identifier
1124014485
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014321 Issued in PA
Practice address
401 S Route 36
Roaring Spring, PA 16673-1628
Phone
(814) 224-5566
Fax
(814) 224-2474
NPI assigned
Sep 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT014321 PA Primary

Addresses

Primary practice location

401 S Route 36
Roaring Spring, PA 16673-1628

Mailing address

300 E Plank Rd
Altoona, PA 16602-4154
Phone (814) 941-7708

Other identifiers 2

IdentifierTypeStateIssuer
50063901OtherPACAPITAL
1753061OtherPAHIGHMARK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050923000383 PA Practitioner - Physical Therapist in Private Practice 3476587056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Procare PT LPGroup PAC ID 3476790767, 17 clinicians

Practice addresses (Care Compare)

125 Willow Grove Dr
Everett, PA 15537-6932
Phone (814) 624-2497

3200 Fairway Dr
Altoona, PA 16602-4458
Phone (814) 941-7708

7448 Woodbury Pike
Roaring Spring, PA 16673-1600
Phone (814) 224-5566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT014321PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Health Rehabilitation Hospital of Altoona, LLC Past Accepting new patients
Pro Care Health Systems Inc Past Accepting new patients

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124014485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E PLANK RD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024154",
            "telephone_number": "814-941-7708",
            "fax_number": "814-941-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S ROUTE 36",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "166731628",
            "telephone_number": "814-224-5566",
            "fax_number": "814-224-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "DOROTHY",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT014321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL",
            "identifier": "50063901",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1753061",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roaring Spring, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.