Carolyn Peterson, DPT
Individual provider Active NPI Physical Therapist · New Wilmington, PA
NPI 1548003296 · NPPES record last updated Aug 19, 2024
Key facts
- NPI
- 1548003296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT032610 (PA)
- Practice address
- 565 W. Neshannock Ave
New Wilmington, PA 16142 - Phone
- (724) 946-3313
- Fax
- (724) 946-2770
- NPI assigned
- Jun 18, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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, PC
Practice addresses (Care Compare)
565 W Neshannock Ave
New Wilminton, PA 16142-3228
Phone (724) 946-3313
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240828005299 | PA | Practitioner - Physical Therapist in Private Practice | 6204375645 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT032610 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn Ohio Rehabilitation, PC | Physical Therapist | Current |
Accepting new patients |
| Penn Ohio Rehabilitation, PC | Physical Therapist | Current |
Accepting new patients |
Locations
1599 N Hermitage Rd
Ste B
Hermitage, PA 16148
Phone (724) 962-7920
1599 N Hermitage Rd
Hermitage, PA 16148
Phone (724) 962-7920
139 N Erie St
Ste 1
Mercer, PA 16137
Phone (724) 662-1776
565 W Neshannock Ave
New Wilmngtn, PA 16142
Phone (724) 946-3313
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT032610 | PA | Yes |
Addresses
Primary practice location
565 W. Neshannock Ave
New Wilmington, PA 16142
Mailing address
139 N. Erie Street
Ste.1
Mercer, PA 16137
Phone (724) 662-1776
Other providers in New Wilmington, PA
- New Wilmington Volunteer Firemens Association
- Angela D Nicastro
- Michael Samuel O'Donovan
- Overlook Leasing Partnership
- Penn Ohio Rehabilitation, PC
- Kelsey Dawn Puskar
- Reliant Overlook Holdings, LLC
- Judith Ann Sainato
- Brandy Leigh Sanford
- Timothy Edward Schneider
All providers in New Wilmington, 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 Aug 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.