Active NPI
Kaitlyn Anderson, DPT
- Physical Therapist
- Erie, PA
National Provider Identifier
1265910350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT026981
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
dba Corry Works Physical Therapy
- Physical Therapist
- Corry, PA
- NPI 1083612048
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.