Individual provider Active NPI

Jennifer Kalt

  • Physical Therapy Assistant
  • Carbondale, PA
National Provider Identifier
1548755374
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TEI003999 Issued in PA
Practice address
45 N Scott St
Carbondale, PA 18407-1833
Phone
(570) 282-1099
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TEI003999 PA Primary

Addresses

Primary practice location

45 N Scott St
Carbondale, PA 18407-1833

Mailing address

428 Sickler Pond Rd
Jermyn, PA 18433-3624

Other practice location 1

Creekside nursing and rehab center
45 n scott st
carbondale, PA 18433
Phone (570) 282-1099

Other names 1

  • Jennifer Ligi Former name

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

LicenseStateTypeSpecialty
TEI003999PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1548755374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 SICKLER POND RD",
            "city": "JERMYN",
            "state": "PA",
            "postal_code": "184333624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N SCOTT ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071833",
            "telephone_number": "570-282-1099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Creekside nursing and rehab center",
            "address_2": "45 n scott st",
            "address_purpose": "LOCATION",
            "city": "carbondale",
            "state": "PA",
            "postal_code": "18433",
            "country_code": "US",
            "telephone_number": "570-282-1099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALT",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI003999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LIGI",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carbondale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.