Individual provider Active NPI

Erica Rae Cerutti, PT

  • Physical Therapist
  • New Freedom, PA
National Provider Identifier
1306010038
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019233 Issued in PA
Practice address
781 Far Hills Dr
Suite 400
New Freedom, PA 17349-8447
Phone
(717) 235-9890
Fax
(717) 235-9894
NPI assigned
Apr 14, 2008
Last updated
Feb 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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 PT019233 PA Primary

Addresses

Primary practice location

781 Far Hills Dr
Suite 400
New Freedom, PA 17349-8447

Mailing address

781 Far Hills Dr
Suite 400
New Freedom, PA 17349-8447
Phone (717) 235-9890

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080912000381 PA Practitioner - Physical Therapist in Private Practice 4981770088 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PHS Physical Therapy, LLC CurrentSince Oct 1, 2018 Accepting new patients
PHS Physical Therapy, LLC Physical Therapist CurrentSince Oct 1, 2018 Accepting new patients

Locations

1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1306010038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 FAR HILLS DR",
            "address_2": "SUITE 400",
            "city": "NEW FREEDOM",
            "state": "PA",
            "postal_code": "173498447",
            "telephone_number": "717-235-9890",
            "fax_number": "717-235-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 FAR HILLS DR",
            "address_2": "SUITE 400",
            "city": "NEW FREEDOM",
            "state": "PA",
            "postal_code": "173498447",
            "telephone_number": "717-235-9890",
            "fax_number": "717-235-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERUTTI",
        "first_name": "ERICA",
        "middle_name": "RAE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Freedom, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.