Active NPI
Kandy Mills, PT
- Specialist
- Clarks Summit, PA
National Provider Identifier
1134400583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT020612
- Practice address
- 718 S State St
Clarks Summit, PA 18411-1749 - Phone
- (570) 586-2222
- Fax
- (570) 585-1321
- NPI assigned
- Aug 30, 2011
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT020612 | PA | Primary |
Addresses
Primary practice location
718 S State St
Clarks Summit, PA 18411-1749
Mailing address
718 S State St
Clarks Summit, PA 18411-1749
Phone (570) 586-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pivot Physical Therapy of Pennsylvania, LLC | Past | Accepting new patients |
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.
-
- Physical Therapist
- South Abington Township, PA
- NPI 1881132488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1134400583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 S STATE ST",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184111749",
"telephone_number": "570-586-2222",
"fax_number": "570-585-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 S STATE ST",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184111749",
"telephone_number": "570-586-2222",
"fax_number": "570-585-1321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "KANDY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-30",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "PT020612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.