Active NPI
Kendal Mae Thomas, PT
- Physical Therapist
- Newville, PA
National Provider Identifier
1548527260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT020436
- Practice address
- 91 S High St
Suite 3
Newville, PA 17241-1405 - Phone
- (717) 776-1058
- Fax
- (717) 776-1078
- NPI assigned
- Apr 19, 2012
- Last updated
- Dec 30, 2016
- 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 | PT020436 | PA | Primary |
Addresses
Primary practice location
91 S High St
Suite 3
Newville, PA 17241-1405
Mailing address
20 Park PL
Suite 2
Shippensburg, PA 17257-9806
Phone (717) 477-8030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1027722420001 | Medicaid | PA |
Other names 1
- Kendal Mae Ross
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Park PL
Suite 2
Shippensburg, PA 17257-9806
Phone (717) 447-8030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Physical Therapist
- Shippensburg, PA
- NPI 1972671352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483056000000",
"number": "1548527260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PARK PL",
"address_2": "SUITE 2",
"city": "SHIPPENSBURG",
"state": "PA",
"postal_code": "172579806",
"telephone_number": "717-477-8030",
"fax_number": "717-477-8040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 S HIGH ST",
"address_2": "SUITE 3",
"city": "NEWVILLE",
"state": "PA",
"postal_code": "172411405",
"telephone_number": "717-776-1058",
"fax_number": "717-776-1078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KENDAL",
"middle_name": "MAE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-19",
"last_updated": "2016-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT020436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1027722420001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KENDAL",
"last_name": "ROSS",
"middle_name": "MAE",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Newville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.