Shawnda L Koser, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015059 Issued in PA

Practice address

3100 Willow Street Pike S
Willow Street, PA 17584-9373

Phone

(717) 464-9013

Fax

(717) 464-9018

NPI assigned

Jun 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shawnda Smucker Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Practice Center, PC

  • Physical Therapist
  • Middleburg, PA
  • NPI 1154376937
  Medicare reassignment Care Compare group NPD
• Argires Marotti Neurosurgical Associates of Lancaster, PC

  • Neurological Surgery Physician
  • Lancaster, PA
  • NPI 1659307130
  Medicare reassignment NPD
• Argires Marotti Physical Therapy

  • Physical Therapy Clinic/Center
  • Lancaster, PA
  • NPI 1316573983
  NPD
• Family Practice Center, PC

  • Clinical Medical Laboratory
  • Selinsgrove, PA
  • NPI 1033322466
  NPD

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1194768176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 WILLOW STREET PIKE S",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849373",
            "telephone_number": "717-464-9013",
            "fax_number": "717-464-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSER",
        "first_name": "SHAWNDA",
        "middle_name": "L",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016013490001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNDA",
            "last_name": "SMUCKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ann M King, M.D.
• Charles J King, D.D.S.
• Philip Muigai Kirumba
• Laura J Kline, O.T.
• Jennifer Nicole Knight, DPT
• Tiffany Margaret Kress
• Joseph Dale Kuro, MPT
• Keri Lynn Kury, RN
• Sarah Jane Kury
• Lancaster Co Career & Technology Ctr

• Physical Therapist in Willow Street, PA
• Providers in Willow Street, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.