Kimberly A Gregorowicz, PT

Individual provider Active NPI Physical Therapist · Forest City, PA

NPI 1215959614 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1215959614
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT006259L (PA)
Practice address
354 Main St
Forest City, PA 18421-1418
Phone
(570) 785-2018
Fax
(570) 785-2061
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT006259LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Physical Therapy, Inc Physical Therapist Past
since Oct 1, 1997
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT006259L PA Yes

Addresses

Primary practice location

354 Main St
Forest City, PA 18421-1418

Mailing address

604 Mary Jo Dr
Jessup, PA 18434-1963
Phone (570) 383-3752

Other providers in Forest City, PA

All providers in Forest City, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.