Individual provider Active NPI

Kaitlyn Cora Ross, DPT

  • Physical Therapist
  • Allentown, PA
National Provider Identifier
1619422656
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025287 Issued in PA
Practice address
2895 Hamilton Blvd Ste 105
Allentown, PA 18104-6172
Phone
(610) 841-3555
Fax
(610) 841-3558
NPI assigned
Aug 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT025287 PA Primary

Addresses

Primary practice location

2895 Hamilton Blvd Ste 105
Allentown, PA 18104-6172

Mailing address

2895 Hamilton Blvd Ste 105
Allentown, PA 18104-6172
Phone (610) 841-3555

Other names 1

  • Kaitlyn Cora Trump Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161031000680 PA Practitioner - Physical Therapist in Private Practice 3072891803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robbins Rehabilitation West LLCGroup PAC ID 0840558177, 8 clinicians

Practice addresses (Care Compare)

1245 S Cedar Crest Blvd
Suite 205
Allentown, PA 18103-6258
Phone (610) 841-3555

1320 Hausman Rd
Suite 101
Allentown, PA 18104-9056
Phone (610) 841-3555

2045 Westgate Dr
Suite 303
Bethlehem, PA 18017-7475
Phone (610) 841-3555

225 Erdman St
Bangor, PA 18013-2043
Phone (610) 841-3555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robbins Rehabilitation West, LLC Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients

Locations

2895 Hamilton Blvd
Ste 105
Allentown, PA 18104

1245 S Cedar Crest Blvd
Ste 205
Allentown, PA 18103
Phone (610) 439-2770

6750 Iroquois Trl
Ste 12A
Allentown, PA 18104

1320 Hausman Rd
Ste 101
Allentown, PA 18104

225 Erdman St
Bangor, PA 18013
Phone (610) 432-9593

2045 Westgate Dr
Ste 303
Bethlehem, PA 18017

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1619422656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2895 HAMILTON BLVD STE 105",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046172",
            "telephone_number": "610-841-3555",
            "fax_number": "610-841-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 HAMILTON BLVD STE 105",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046172",
            "telephone_number": "610-841-3555",
            "fax_number": "610-841-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KAITLYN",
        "middle_name": "CORA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "TRUMP",
            "middle_name": "CORA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.