Organization Active NPI

Kuzma Physical Therapy and Sports Medicine LLC

  • Physical Therapy Clinic/Center
  • Waterford, PA
National Provider Identifier
1366081168
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KUZMA PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Practice address
991 Route 19 N Ste E
Waterford, PA 16441-9739
Phone
(814) 796-3400
Fax
(814) 796-8533
NPI assigned
Dec 27, 2019
Last updated
Dec 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Authorized official

Name
Scott A Wise, DPTNPI 1336155365
Title
President
Phone
(724) 458-9473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

991 Route 19 N Ste E
Waterford, PA 16441-9739

Mailing address

46 Rosewood LN
Grove City, PA 16127-4550
Phone (724) 458-9473

Other names 1

  • Kuzma Physical Therapy and Sports Medicine Other name

National Provider Directory

National Provider Directory

Locations

991 Route 19 N
Ste E
Waterford, PA 16441
Phone (814) 796-3400

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1366081168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ROSEWOOD LN",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274550",
            "telephone_number": "724-458-9473",
            "fax_number": "724-458-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 ROUTE 19 N STE E",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "164419739",
            "telephone_number": "814-796-3400",
            "fax_number": "814-796-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUZMA PHYSICAL THERAPY AND SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-458-9473",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kuzma Physical Therapy and Sports Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waterford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.