Individual provider Active NPI

Kaitlyn Anderson, DPT

  • Physical Therapist
  • Erie, PA
National Provider Identifier
1265910350
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026981 Issued in PA
Practice address
902 W Erie PLZ
Erie, PA 16505
Phone
(814) 456-6000
Fax
(814) 456-6060
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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 PT026981 PA Primary

Addresses

Primary practice location

902 W Erie PLZ
Erie, PA 16505

Mailing address

902 W Erie PLZ
Erie, PA 16505-4536
Phone (814) 456-6000

Other practice location 1

1012 Water St
Meadville, PA 16335-3468
Phone (814) 337-2345

Other practice location 2

8270 Peach St Ste 400
Erie, PA 16509-4700
Phone (814) 866-5930

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Penn Therapeutics and Physical Therapy, 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.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1265910350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W ERIE PLZ",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054536",
            "telephone_number": "814-456-6000",
            "fax_number": "814-456-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W ERIE PLZ",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16505",
            "telephone_number": "814-456-6000",
            "fax_number": "814-456-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 Water St",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163353468",
            "country_code": "US",
            "telephone_number": "814-337-2345",
            "fax_number": "814-337-0355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8270 Peach St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165094700",
            "country_code": "US",
            "telephone_number": "814-866-5930",
            "fax_number": "814-868-1767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KAITLYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.