Stephanie Lynn McKeta, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015513 Issued in PA

Practice address

1265 Wayne Ave
Indiana, PA 15701-3501

Phone

(724) 465-2676

Fax

(724) 465-0193

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457441149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-465-2676",
            "fax_number": "724-465-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-465-2676",
            "fax_number": "724-465-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKETA",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7636368",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMER/HEALTH ASSUR.",
            "identifier": "189730",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "MC1387126",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary C McFeaters, OTR
• Corri A McGinnis, BS
• Mark Raymond McGowan, PH.D.
• Colleen McHugh, CRNA
• Suzette L McKendrick, BS
• Craig C McKirgan, D.O.
• Riley Nicole McLaughlin
• Candice L McManis, LCSW
• Marlena R McNutt
• Lauren L McQuiston, BA

• Physical Therapist in Indiana, PA
• Providers in Indiana, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.