Individual provider Active NPI

Kevin Andrew Westrick, PT

  • Physical Therapist
  • Ebensburg, PA
National Provider Identifier
1316232879
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-021310 Issued in PA
Practice address
615 W High St
Ebensburg, PA 15931-1512
Phone
(814) 472-5008
Fax
(814) 472-5014
NPI assigned
Jun 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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 PT-021310 PA Primary

Addresses

Primary practice location

615 W High St
Ebensburg, PA 15931-1512

Mailing address

217 Sheehan Rd
Loretto, PA 15940-8513
Phone (814) 421-9007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170118000251 PA Practitioner - Physical Therapist in Private Practice 5597047084 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-021310PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rehabilitation Systems, Inc. CurrentSince Dec 3, 2021 Accepting new patients
Keystone Rehabilitation Systems, Inc. Current Accepting new patients
Keystone Rehabilitation Systems Inc Past Accepting new patients

Locations

526 Westerly Pkwy
Ste 160
State College, PA 16801
Phone (814) 996-1150

Organizations & group practices 4

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1316232879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SHEEHAN RD",
            "city": "LORETTO",
            "state": "PA",
            "postal_code": "159408513",
            "telephone_number": "814-421-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W HIGH ST",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311512",
            "telephone_number": "814-472-5008",
            "fax_number": "814-472-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTRICK",
        "first_name": "KEVIN",
        "middle_name": "ANDREW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-021310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.