Active NPI
Kelly Diane Werner
- Physical Therapist
- Ebensburg, PA
National Provider Identifier
1154496107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- College Park Plaza
Suite 540
Ebensburg, PA 15931 - Phone
- (814) 472-9070
- Fax
- (814) 472-9067
- NPI assigned
- Nov 22, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
College Park Plaza
Suite 540
Ebensburg, PA 15931
Mailing address
927 Menoher Blvd
Johnstown, PA 15905
Phone (814) 255-6814
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Pennsylvania Sports Medicine & Rehabilitation Center, Inc. | 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 Therapy Clinic/Center
- Johnstown, PA
- NPI 1427123660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154496107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 MENOHER BLVD",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "15905",
"telephone_number": "814-255-6814",
"fax_number": "814-255-7963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COLLEGE PARK PLAZA",
"address_2": "SUITE 540",
"city": "EBENSBURG",
"state": "PA",
"postal_code": "15931",
"telephone_number": "814-472-9070",
"fax_number": "814-472-9067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "KELLY",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ebensburg, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.