Individual provider Active NPI

Kelly Lynn Patalsky, DPT

  • Physical Therapist
  • Butler, PA
National Provider Identifier
1184603888
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-017443-L Issued in PA
Practice address
250A Butler CMNS
Butler, PA 16001-2485
Phone
(724) 282-6500
Fax
(724) 282-4222
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-017443-L PA Primary

Addresses

Primary practice location

250A Butler CMNS
Butler, PA 16001-2485

Mailing address

10441 Perry Hwy
Wexford, PA 15090-9292
Phone (724) 940-4144

Other identifiers 2

IdentifierTypeStateIssuer
1012767310001MedicaidPA
103243RK3OtherPAPA MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060907000046 PA Practitioner - Physical Therapist in Private Practice 9032113980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5900 Corporate Dr
Suite 100
Pittsburgh, PA 15237-7012
Phone (412) 369-7735

Merit-based Incentive Payment System (MIPS)

Final score
93.13 of 100Reported as group
Quality
87.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-017443-LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Orthopaedics & Sports Medicine, Inc. CurrentSince Feb 10, 2020 Accepting new patients
Tri-State Orthopaedics & Sports Medicine, Inc. CurrentSince Feb 10, 2020 Accepting new patients
Novacare Outpatient Rehabilitation East Inc Past Accepting new patients

Locations

5900 Corporate Dr
Ste 200
Pittsburgh, PA 15237
Phone (412) 369-4000

5900 Corporate Dr
Ste 100
Pittsburgh, PA 15237
Phone (412) 369-7735

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1184603888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10441 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909292",
            "telephone_number": "724-940-4144",
            "fax_number": "724-940-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250A BUTLER CMNS",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012485",
            "telephone_number": "724-282-6500",
            "fax_number": "724-282-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATALSKY",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-017443-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012767310001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA MEDICARE",
            "identifier": "103243RK3",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.