Kelcie Hromisin

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT032052 Issued in PA

Practice address

Dallas Route 309
Suite 63
Dallas, PA 18612-1231

Phone

(570) 310-1881

Fax

(570) 310-1886

NPI assigned

May 25, 2024

Last updated

Jun 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pivot Physical Therapy of Pennsylvania, LLC

  • Physical Therapist
  • South Abington Township, PA
  • NPI 1881132488
  Medicare reassignment NPD
• Kelcie Hromisin LLC Kelcie Hromisin Sole MBR

  dba MyTeam Movement

  • Physical Therapy Clinic/Center
  • Swoyersville, PA
  • NPI 1073323317
  NPD Authorized official
• Procare Physical Therapy Inc

  • Physical Therapist
  • Towanda, PA
  • NPI 1003876319
  NPD (past)
• Dynamic Therapy Services, LLC

  • Occupational Therapist
  • Rehoboth Beach, DE
  • NPI 1225637051

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1716595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1326888694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "570-550-0168",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DALLAS ROUTE 309",
            "address_2": "SUITE 63",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121231",
            "telephone_number": "570-310-1881",
            "fax_number": "570-310-1886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "518 Church St",
            "address_purpose": "LOCATION",
            "city": "Swoyersville",
            "state": "PA",
            "postal_code": "187042950",
            "country_code": "US",
            "telephone_number": "570-592-4409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HROMISIN",
        "first_name": "KELCIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-25",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23164",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032052",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "27561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• William Robert Host, MD
• David P. Hutz, M.D.
• Marisa Irizarry
• Stephanie Jacobs, LCSW
• Cheryl Marie Jayne, OTD, OTR/L
• JCR Century Dental Dal LLC

• Physical Therapist in Dallas, PA
• Providers in Dallas, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.