Individual provider Active NPI

Kelsey Sweeney, DPT

  • Physical Therapist
  • State College, PA
National Provider Identifier
1225404064
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026516 Issued in PA
Practice address
177 Champion Dr Ste 100
State College, PA 16803-3711
Phone
(814) 238-3485
NPI assigned
Aug 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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 PT026516 PA Primary

Addresses

Primary practice location

177 Champion Dr Ste 100
State College, PA 16803-3711

Mailing address

177 Champion Dr Ste 100
State College, PA 16803-3711
Phone (814) 238-3485

Other identifiers 1

IdentifierTypeStateIssuer
PT026516OtherPASTATE LICENSE

Other names 1

  • Kelsey Stoner Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211019003174 PA Practitioner - Physical Therapist in Private Practice 5991013674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Trinity Rehabilitation LLCGroup PAC ID 7113397159, 3 clinicians

Practice addresses (Care Compare)

1800 N Juniata St
Hollidaysburg, PA 16648-1997
Phone (814) 283-5432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Trinity Rehabilitation LLC Physical Therapist CurrentSince Jul 26, 2022 Accepting new patients

Locations

1800 N Juniata St
Hollidaysburg, PA 16648
Phone (814) 283-5432

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.

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1225404064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 CHAMPION DR STE 100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033711",
            "telephone_number": "814-238-3485",
            "fax_number": "814-692-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 CHAMPION DR STE 100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033711",
            "telephone_number": "814-238-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "KELSEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT026516",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "STONER",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.