Active NPI
Denise Petrino Kershner, PT
- Physical Therapist
- Phoenixville, PA
National Provider Identifier
1508487372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006100L
- Practice address
- 140 Nutt Rd
Phoenixville, PA 19460-3906 - Phone
- (610) 983-1242
- NPI assigned
- May 2, 2020
- 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 | PT006100L | PA | Primary |
Addresses
Primary practice location
140 Nutt Rd
Phoenixville, PA 19460-3906
Mailing address
496 Shakespeare Dr
Collegeville, PA 19426-2582
Phone (610) 203-3280
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006100L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588377600000",
"number": "1508487372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "496 SHAKESPEARE DR",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194262582",
"telephone_number": "610-203-3280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 NUTT RD",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194603906",
"telephone_number": "610-983-1242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSHNER",
"first_name": "DENISE",
"middle_name": "PETRINO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-02",
"last_updated": "2020-05-02",
"certification_date": "2020-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT006100L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenixville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.