Lara Beth Zelch, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008233L Issued in PA

Practice address

1807 Mercer Rd.
Ellwood City, PA 16157

Phone

(724) 758-3338

Fax

(724) 752-8878

NPI assigned

Feb 4, 2009

Last updated

May 7, 2014By 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

Other identifiers 1

Other names 1

• Lara Beth Bertucci Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Air Physical Therapy Inc

  • Orthopedic Physical Therapist
  • Ellwood City, PA
  • NPI 1104199967
  NPD (past)
• Air Physical Therapy LLC

  • Physical Therapist
  • Ellwood City, PA
  • NPI 1174611131
  NPD (past)

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1659510287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 MERCER ROAD",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "16157",
            "telephone_number": "724-758-3338",
            "fax_number": "724-752-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 MERCER RD.",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "16157",
            "telephone_number": "724-758-3338",
            "fax_number": "724-752-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELCH",
        "first_name": "LARA",
        "middle_name": "BETH",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008233L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001379515",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARA",
            "last_name": "BERTUCCI",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karl Edward Williams, MD
• Julie Kell Wolf, DO
• Janine Marie Woodburn, CRNP
• Woodside Professional Counseling
• Daniel George Zelch, M.P.T. OCS
• Sarah Elizabeth Zielinski, PHARMD
• Tina Marie Zielinski, RPH

• Physical Therapist in Ellwood City, PA
• Providers in Ellwood City, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.