Kerrie J Pincin, DPT

Key facts

NPI

1689962219

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

PT021550 (PA)

Practice address

7643 Lake Raystown Shopping Ctr
Huntingdon, PA 16652-8403

Phone

(814) 643-2476

Fax

(814) 643-6775

NPI assigned

Jul 18, 2011

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 7, 2011.

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1689962219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7643 LAKE RAYSTOWN SHOPPING CTR",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166528403",
            "telephone_number": "814-643-2476",
            "fax_number": "814-643-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7643 LAKE RAYSTOWN SHOPPING CTR",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166528403",
            "telephone_number": "814-643-2476",
            "fax_number": "814-643-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINCIN",
        "first_name": "KERRIE",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Huntingdon, PA · Physical Therapist in Pennsylvania