Active NPI
Kevin Mark Naugle, PT
- Physical Therapist
- Altoona, PA
National Provider Identifier
1720073265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007524L
- Practice address
- 3200 Fairway Dr
Altoona, PA 16602-4458 - Phone
- (814) 941-7708
- Fax
- (814) 941-7715
- NPI assigned
- Sep 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007524L | PA | Primary |
Addresses
Primary practice location
3200 Fairway Dr
Altoona, PA 16602-4458
Mailing address
310 Penn St
Suite 103
Hollidaysburg, PA 16648-2044
Phone (814) 695-2923
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 848239 | Other | PA | HIGHMARK |
| 650021198 | Other | PA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2825 Earlystown Rd
Centre Hall, PA 16828-9108
Phone (814) 364-3290
3200 Fairway Dr
Altoona, PA 16602-4458
Phone (814) 941-7708
7448 Woodbury Pike
Roaring Spring, PA 16673-1600
Phone (814) 224-5566
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Care Health Systems Inc | Past | Accepting new patients | |
| Encompass Health Rehabilitation Hospital of Altoona, LLC | Past | Accepting new patients | |
| The Physical Therapy Institute | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Physical Therapist
- Altoona, PA
- NPI 1811238744
-
- Rehabilitation Hospital
- Altoona, PA
- NPI 1184854762
-
- Physical Therapy Clinic/Center
- Altoona, PA
- NPI 1205821238
-
- Physical Therapy Clinic/Center
- Elizabethtown, PA
- NPI 1306245089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381363200000",
"number": "1720073265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 PENN ST",
"address_2": "SUITE 103",
"city": "HOLLIDAYSBURG",
"state": "PA",
"postal_code": "166482044",
"telephone_number": "814-695-2923",
"fax_number": "814-695-2924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 FAIRWAY DR",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024458",
"telephone_number": "814-941-7708",
"fax_number": "814-941-7715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAUGLE",
"first_name": "KEVIN",
"middle_name": "MARK",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2013-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT007524L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "848239",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "650021198",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.