Active NPI
Laura Coverdale, DPT
- Physical Therapist
- Erie, PA
National Provider Identifier
1356994024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT022122
- Practice address
- 560 E 3Rd St
Erie, PA 16507-1753 - Phone
- (855) 840-7257
- NPI assigned
- Jul 22, 2019
- Last updated
- Jul 22, 2019
- 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 | PT022122 | PA | Primary |
Addresses
Primary practice location
560 E 3Rd St
Erie, PA 16507-1753
Mailing address
3509 Windsor Dr
Erie, PA 16506-2218
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1356994024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3509 WINDSOR DR",
"city": "ERIE",
"state": "PA",
"postal_code": "165062218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 E 3RD ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165071753",
"telephone_number": "855-840-7257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVERDALE",
"first_name": "LAURA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-22",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT022122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.