Kylee Renae Padasak, PT
Individual provider Active NPI Physical Therapist · Wilcox, PA
NPI 1447840384 · NPPES record last updated Mar 24, 2022
Key facts
- NPI
- 1447840384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT028276 (PA)
- Practice address
- 52 E Branch Dam Rd
Wilcox, PA 15870-5202 - Phone
- (814) 594-3553
- NPI assigned
- Jan 25, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT028276 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intuitive Rehabilitation Services | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT028276 | PA | Yes |
Addresses
Primary practice location
52 E Branch Dam Rd
Wilcox, PA 15870-5202
Mailing address
52 E Branch Dam Rd
Wilcox, PA 15870-5202
Phone (814) 594-3553
Other providers in Wilcox, PA
All providers in Wilcox, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.