Active NPI
Kelsey Stottlemyer Pust, DPT
- Physical Therapist
- West Newton, PA
National Provider Identifier
1174978993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PY025102
- Practice address
- 300 Greensburg Pike
West Newton, PA 15089-2060 - Phone
- (724) 872-0356
- Fax
- (724) 872-6051
- NPI assigned
- Apr 29, 2016
- 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 | PY025102 | PA | Primary |
Addresses
Primary practice location
300 Greensburg Pike
West Newton, PA 15089-2060
Mailing address
414 Route 71
Charleroi, PA 15022
Phone (724) 825-5501
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY025102 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Rehabilitation Systems 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.
-
- Rehabilitation Clinic/Center
- Ambridge, PA
- NPI 1558300574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1174978993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 ROUTE 71",
"city": "CHARLEROI",
"state": "PA",
"postal_code": "15022",
"telephone_number": "724-825-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 GREENSBURG PIKE",
"city": "WEST NEWTON",
"state": "PA",
"postal_code": "150892060",
"telephone_number": "724-872-0356",
"fax_number": "724-872-6051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUST",
"first_name": "KELSEY",
"middle_name": "STOTTLEMYER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-29",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PY025102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Newton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.