Kathleen Marie Lello

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TPTA000096 Issued in PA

Practice address

37 Woodlands Dr
Waymart, PA 18472-9366

Phone

(570) 488-9884

NPI assigned

Oct 2, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1134470057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 E ATHERTON ST",
            "city": "TAYLOR",
            "state": "PA",
            "postal_code": "185171801",
            "telephone_number": "570-562-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 WOODLANDS DR",
            "city": "WAYMART",
            "state": "PA",
            "postal_code": "184729366",
            "telephone_number": "570-488-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELLO",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TPTA000096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megananne Janes, LPC
• Gerald Jacob Kasper, D.M.D.
• Amanda L Kisel, MS, LBS, LSW
• Amanda Knickerbocker, LPC
• Marci Ann Kowalewski, PAC
• Michelle Marie Marcho, PTA
• Maxis Medical Services (Family Medical Center)
• Mogerman Jason Orthopaedic Institute,LLC
• Jeffrey A Mogerman, MD
• Allen J Orehek, MD

• Physical Therapy Assistant in Waymart, PA
• Providers in Waymart, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.