Individual provider Active NPI

Aaron W Hertel, PT

  • Physical Therapist
  • Erie, PA
National Provider Identifier
1144274895
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016791 Issued in PA
Practice address
2147 W 12 St
Ste 1
Erie, PA 16505-4835
Phone
(814) 456-6000
Fax
(814) 456-6060
NPI assigned
May 19, 2006
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT016791 PA Primary
Orthopedic Physical Therapist 2251X0800X PT016791 PA

Addresses

Primary practice location

2147 W 12 St
Ste 1
Erie, PA 16505-4835

Mailing address

2147 W 12 St
Ste 1
Erie, PA 16505-4835
Phone (814) 456-6000

Other identifiers 2

IdentifierTypeStateIssuer
1008720060012MedicaidPA
001591340OtherPABS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070111000222 PA Practitioner - Physical Therapist in Private Practice 4385640101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016791PAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1144274895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 W 12 ST",
            "address_2": "STE 1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054835",
            "telephone_number": "814-456-6000",
            "fax_number": "814-456-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 W 12 ST",
            "address_2": "STE 1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054835",
            "telephone_number": "814-456-6000",
            "fax_number": "814-456-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTEL",
        "first_name": "AARON",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016791",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT016791",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008720060012",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "001591340",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.