Active NPI
Jaime Vercoe, PT
- Physical Therapist
- Monongahela, PA
National Provider Identifier
1326074071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017171
- Practice address
- 1027 Country Club Rd
Monongahela, PA 15063-1553 - Phone
- (724) 258-6211
- Fax
- (724) 258-6225
- NPI assigned
- Jun 24, 2006
- 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 | PT017171 | PA | Primary |
Addresses
Primary practice location
1027 Country Club Rd
Monongahela, PA 15063-1553
Mailing address
1027 Country Club Rd
Monongahela, PA 15063-1553
Phone (724) 258-6211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016749970001 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT017171 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1326074071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 COUNTRY CLUB RD",
"city": "MONONGAHELA",
"state": "PA",
"postal_code": "150631553",
"telephone_number": "724-258-6211",
"fax_number": "724-258-6225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 COUNTRY CLUB RD",
"city": "MONONGAHELA",
"state": "PA",
"postal_code": "150631553",
"telephone_number": "724-258-6211",
"fax_number": "724-258-6225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERCOE",
"first_name": "JAIME",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT017171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016749970001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monongahela, PA
- Valley Outpatient Rehabilitation
- Valley Outpatient Rehabilitation OT
- Valley Outpatient Rehabilitation SLP
- Valley Women'S Health, P.C.
- Vasu Malepati, M.D., PA
- Janelle Vicedo Violago, M.D.
- Lesa Delanie Vivio, MS, LPC, CBIS
- Hannah Jean Wagner, DNP, FNP-C
- Brenda L Walther, MD
- Webster Chiropractic & Sports Rehabilitation, PLLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.