Individual provider Active NPI

Brenda Gaye Venesky, PTA

  • Physical Therapy Assistant
  • Natrona Heights, PA
National Provider Identifier
1306060215
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TE002698L Issued in PA
Practice address
1620 Pacific Ave
Natrona Heights, PA 15065-2101
Phone
(724) 224-2166
Fax
(724) 224-3732
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE002698L PA Primary

Addresses

Primary practice location

1620 Pacific Ave
Natrona Heights, PA 15065-2101

Mailing address

435 Fosters Mills Rd
Cowansville, PA 16218-1605
Phone (724) 545-7422

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TE002698LPAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306060215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 FOSTERS MILLS RD",
            "city": "COWANSVILLE",
            "state": "PA",
            "postal_code": "162181605",
            "telephone_number": "724-545-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 PACIFIC AVE",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652101",
            "telephone_number": "724-224-2166",
            "fax_number": "724-224-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENESKY",
        "first_name": "BRENDA",
        "middle_name": "GAYE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE002698L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natrona Heights, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.