Kelli Long

Individual provider Active NPI Physical Therapist · Windber, PA

NPI 1124665369 · NPPES record last updated Dec 6, 2019

Key facts

NPI
1124665369
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
600 Somerset Ave
Windber, PA 15963-1331
Phone
(814) 467-3465
Fax
(814) 467-3441
NPI assigned
Dec 6, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

600 Somerset Ave
Windber, PA 15963-1331

Mailing address

600 Somerset Ave
Windber, PA 15963-1331
Phone (814) 467-3465

Other providers in Windber, PA

All providers in Windber, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.