Individual provider Active NPI

Carly Krahe

  • Physical Therapist
  • Erie, PA
National Provider Identifier
1366992117
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025404 Issued in PA
Practice address
4950 W 23Rd St
Suite 1
Erie, PA 16506-5802
Phone
(814) 455-2755
Fax
(814) 456-4873
NPI assigned
Oct 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT025404 PA Primary

Addresses

Primary practice location

4950 W 23Rd St
Suite 1
Erie, PA 16506-5802

Mailing address

4950 W 23Rd St
Suite 1
Erie, PA 16506-5802
Phone (814) 455-2755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210505000412 PA Practitioner - Physical Therapist in Private Practice 6103235064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rise Up Physical Therapy LLCGroup PAC ID 7810302593, 7 clinicians

Practice addresses (Care Compare)

2307 W 12TH St
Erie, PA 16505-4539
Phone (814) 528-5667

2311 W 15TH St
Erie, PA 16505-4511
Phone (814) 528-5667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Up Physical Therapy, LLC Physical Therapist CurrentSince Apr 17, 2021 Accepting new patients

Locations

2311 W 15th St
Erie, PA 16505
Phone (814) 528-5667

2307 W 12th St
Erie, PA 16505
Phone (814) 528-5667

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1366992117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 W 23RD ST",
            "address_2": "SUITE 1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165065802",
            "telephone_number": "814-455-2755",
            "fax_number": "814-456-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 W 23RD ST",
            "address_2": "SUITE 1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165065802",
            "telephone_number": "814-455-2755",
            "fax_number": "814-456-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAHE",
        "first_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025404",
            "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 6, 2023; 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.

Verify at the official NPI Registry.