Active NPI
Kristine Elizabeth Mazur
- Physical Therapist
- North East, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT025104
- Practice address
- 10680 W Main Rd
North East, PA 16428-2226 - Phone
- (814) 490-6456
- NPI assigned
- Apr 1, 2016
- Last updated
- Apr 22, 2025
- 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 | PT025104 | PA | Primary |
Addresses
Primary practice location
10680 W Main Rd
North East, PA 16428-2226
Mailing address
10680 W Main Rd
North East, PA 16428-2226
Phone (814) 725-4808
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 |
|---|---|---|---|
| Novacare Outpatient Rehabilitation East Inc | Current | Accepting new patients | |
| Novacare Outpatient Rehabilitation East, Inc. | Physical Therapist | Current | Accepting new patients |
| Novacare Outpatient Rehabilitation East, Inc. | Current | Accepting new patients |
Locations
352 Railroad St
Ligonier, PA 15658
Phone (724) 238-3301
1012 Water St
Meadville, PA 16335
Phone (814) 333-2001
10680 W Main Rd
North East, PA 16428
Phone (814) 490-6456
Organizations & group practices 3
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.
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Ligonier, PA
- NPI 1487010583
Physical Therapist
-
dba Novacare Rehabilitation
- Rehabilitation Clinic/Center
- Wyomissing, PA
- NPI 1497367551
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Ferndale, MI
- NPI 1245235191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1437512019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10680 W MAIN RD",
"city": "NORTH EAST",
"state": "PA",
"postal_code": "164282226",
"telephone_number": "814-725-4808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10680 W MAIN RD",
"city": "NORTH EAST",
"state": "PA",
"postal_code": "164282226",
"telephone_number": "814-490-6456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZUR",
"first_name": "KRISTINE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-01",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT025104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North East, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.