Active NPI
Wendy Jo Kudlawiec, P.T.
- Physical Therapist
- Johnstown, PA
National Provider Identifier
1376630012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007529L
- Practice address
- 184 Donald LN
Suite 10
Johnstown, PA 15904-2835 - Phone
- (814) 266-1974
- Fax
- (814) 266-3407
- NPI assigned
- Oct 6, 2006
- 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 | PT007529L | PA | Primary |
Addresses
Primary practice location
184 Donald LN
Suite 10
Johnstown, PA 15904-2835
Mailing address
430 Innovation Drive
Blairsville, PA 15717-8096
Phone (724) 343-4060
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00125768 | Other | PA | HIGHMARK BLUE SHIELD |
| 5354711 | Other | PA | AETNA |
| 243977 | Other | PA | HEALTH AMER/HEALTH ASSUR. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Rehabilitation Systems, Inc | Physical Therapist | Current | Accepting new patients |
| Benchmark Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| Benchmark Therapy, Inc | Past | Accepting new patients | |
| Benchmark Therapy, Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Ebensburg, PA
- NPI 1588989941
Physical Therapist
-
- Physical Therapy Clinic/Center
- Philadelphia, PA
- NPI 1922553965
-
- Physical Therapy Clinic/Center
- Duncansville, PA
- NPI 1457365439
-
- Physical Therapist
- Clarksburg, WV
- NPI 1689176844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1376630012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 INNOVATION DRIVE",
"city": "BLAIRSVILLE",
"state": "PA",
"postal_code": "157178096",
"telephone_number": "724-343-4060",
"fax_number": "724-343-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 DONALD LN",
"address_2": "SUITE 10",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159042835",
"telephone_number": "814-266-1974",
"fax_number": "814-266-3407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUDLAWIEC",
"first_name": "WENDY",
"middle_name": "JO",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT007529L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "00125768",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5354711",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMER/HEALTH ASSUR.",
"identifier": "243977",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.