Kelly Ward

Individual provider Active NPI Physical Therapist · Drums, PA

NPI 1487956744 · NPPES record last updated Oct 27, 2012

Key facts

NPI
1487956744
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT020849 (PA)
Practice address
773 Saint Johns Rd
Drums, PA 18222-1803
Phone
(570) 956-4758
NPI assigned
Nov 18, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT020849PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Early Years Intervention Services, Inc. Physical Therapist Past Accepting new patients
LG Intervention Specialists, Inc. Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT020849 PA Yes

Addresses

Primary practice location

773 Saint Johns Rd
Drums, PA 18222-1803

Mailing address

773 Saint Johns Rd
Drums, PA 18222-1803

Other providers in Drums, PA

All providers in Drums, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.