Kaila Augustine
Individual provider Active NPI Physical Therapist · Mount Wolf, PA
NPI 1316359201 · NPPES record last updated May 27, 2014
Key facts
- NPI
- 1316359201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT023379 (PA)
- Practice address
- 4880 N Sherman Street Ext
Mount Wolf, PA 17347-9637 - Phone
- (717) 266-9294
- Fax
- (717) 384-8071
- NPI assigned
- May 27, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT023379 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT023379 | PA | Yes |
Addresses
Primary practice location
4880 N Sherman Street Ext
Mount Wolf, PA 17347-9637
Mailing address
4880 N Sherman Street Ext
Mount Wolf, PA 17347-9637
Phone (717) 266-9294
Other providers in Mount Wolf, PA
- Abide Christian Counseling LLC
- Angela Frances Altimus
- Amy Arruda
- Genevieve Louise Barchak
- Anisia Beatty
- Bien-Aise LLC
- Wanda Breighner
- Megan Elizabeth Church
All providers in Mount Wolf, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.