Active NPI
Brett Kudlawiec
- Physical Therapist
- Altoona, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT023151
- Practice address
- 3000 Fairway Dr
Altoona, PA 16602-4472 - Phone
- (814) 942-1166
- Fax
- (814) 942-1169
- NPI assigned
- Oct 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | PT023151 | PA | Primary |
Addresses
Primary practice location
3000 Fairway Dr
Altoona, PA 16602-4472
Mailing address
3000 Fairway Dr
Altoona, PA 16602-4472
Phone (814) 942-1166
Other names 1
- Brett Kudlawiec
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Regent CT
State College, PA 16801-7965
Phone (814) 231-2101
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.62 of 100
- Quality
- 76.03
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Orthopedics Center, LTD | Physical Therapist | Current | Accepting new patients |
| University Orthopedics Center, LTD | Current | Accepting new patients | |
| University Orthopedics Center, LTD | Past | Accepting new patients |
Locations
3000 Fairway Dr
Altoona, PA 16602
Phone (814) 942-1166
101 Regent Ct
State College, PA 16801
Phone (814) 231-1504
Interoperability endpoints
- brett.kudlawiec.p1@direct.uoc.nextgenshare.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- State College, PA
- NPI 1770500415
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Johnstown, PA
- NPI 1902417157
-
- Physical Therapy Clinic/Center
- State College, PA
- NPI 1891818910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1356779185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 FAIRWAY DR",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024472",
"telephone_number": "814-942-1166",
"fax_number": "814-942-1169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 FAIRWAY DR",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024472",
"telephone_number": "814-942-1166",
"fax_number": "814-942-1169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUDLAWIEC",
"first_name": "BRETT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-14",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT023151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRETT",
"last_name": "KUDLAWIEC",
"credential": "DPT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.