Individual provider Active NPI

Carly Michelle Onkotz, PT, DPT

  • Physical Therapist
  • State College, PA
National Provider Identifier
1710277801
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021194 Issued in PA
Practice address
526 Westerly Pkwy
State College, PA 16801-5905
Phone
(814) 996-1150
NPI assigned
Apr 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X PT021194 PA Primary

Addresses

Primary practice location

526 Westerly Pkwy
State College, PA 16801-5905

Mailing address

526 Westerly Pkwy
State College, PA 16801-5905
Phone (814) 996-1150

Other names 1

  • Carly Onkotz Wheaton Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110516000221 PA Practitioner - Physical Therapist in Private Practice 1850577503 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rehabilitation Systems, Inc. CurrentSince Sep 21, 2021 Accepting new patients
Keystone Rehabilitation Systems, Inc. CurrentSince Sep 21, 2021 Accepting new patients
Virginia Hospital Center Arlington Health System Past Accepting new patients
Phoenix Rehabilitation and Health Services, Inc. Physical Therapist PastSince Dec 21, 2021 Accepting new patients
Loudoun Physical Therapy, Inc. Physical Therapist PastSince Oct 1, 1998 Accepting new patients
Keystone Rehabilitation Systems Inc PastSince Dec 21, 2021 Accepting new patients

Locations

3109 Green Garden Rd
#50219
Aliquippa, PA 15001
Phone (724) 378-8228

169 Lakemont Park Blvd
Altoona, PA 16602
Phone (814) 931-7094

725 Cherrington Pkwy
Ste 200
Moon Twp, PA 15108
Phone (412) 262-7800

526 Westerly Pkwy
Ste 160
State College, PA 16801
Phone (814) 996-1150

Organizations & group practices 7

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1710277801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 WESTERLY PKWY",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015905",
            "telephone_number": "814-996-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 WESTERLY PKWY",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015905",
            "telephone_number": "814-996-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONKOTZ",
        "first_name": "CARLY",
        "middle_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "WHEATON",
            "middle_name": "ONKOTZ",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.