Carolyn Peterson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT032610 Issued in PA

Practice address

565 W. Neshannock Ave
New Wilmington, PA 16142

Phone

(724) 946-3313

Fax

(724) 946-2770

NPI assigned

Jun 18, 2024

Last updated

Aug 19, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Penn Ohio Rehabilitation, PCGroup PAC ID 5799879482, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Penn Ohio Rehabilitation, PC

  • Physical Therapist
  • Mercer, PA
  • NPI 1386837268
  Medicare reassignment Care Compare group NPD
• Penn Ohio Rehabilitation, PC

  • Physical Therapist
  • New Wilmington, PA
  • NPI 1427241405
  NPD

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1548003296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 N. ERIE STREET",
            "address_2": "STE.1",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "16137",
            "telephone_number": "724-662-1776",
            "fax_number": "724-662-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 W. NESHANNOCK AVE",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "16142",
            "telephone_number": "724-946-3313",
            "fax_number": "724-946-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CAROLYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Wilmington Volunteer Firemens Association (New Wilmington Rescue)
• Angela D Nicastro, PAC
• Michael Samuel O'Donovan, PSY.D.
• Overlook Leasing Partnership (Overlook Medical Clinic)
• Penn Ohio Rehabilitation, PC
• Kelsey Dawn Puskar, PA-C
• Reliant Overlook Holdings, LLC (Overlook Health and Rehabilitation Center)
• Judith Ann Sainato, RPH
• Brandy Leigh Sanford, ATC
• Timothy Edward Schneider, M. D.

• Physical Therapist in New Wilmington, PA
• Providers in New Wilmington, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.