Active NPI
Kaitlynn Mostard Shaffer, DPT
- Physical Therapist
- Hermitage, PA
National Provider Identifier
1386203107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P18830
- Practice address
- 1599 N. Hermitage Rd.
Hermitage, PA 16148 - Phone
- (724) 962-7920
- Fax
- (724) 962-6029
- NPI assigned
- Jun 6, 2019
- Last updated
- Jun 30, 2022
- Sex
- Female
- 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 | P18830 | NC | Primary |
Addresses
Primary practice location
1599 N. Hermitage Rd.
Hermitage, PA 16148
Mailing address
565 W. Neshannock Ave
New Wilmington, PA 16142
Phone (724) 946-3313
Other names 1
- Kaitlynn A. Mostard-Smith
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P18830 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn Ohio Rehabilitation, PC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Mercer, PA
- NPI 1386837268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1386203107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 W. NESHANNOCK AVE",
"city": "NEW WILMINGTON",
"state": "PA",
"postal_code": "16142",
"telephone_number": "724-946-3313",
"fax_number": "724-946-2770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1599 N. HERMITAGE RD.",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "16148",
"telephone_number": "724-962-7920",
"fax_number": "724-962-6029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "KAITLYNN",
"middle_name": "MOSTARD",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P18830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLYNN",
"last_name": "MOSTARD-SMITH",
"middle_name": "A.",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hermitage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.