Individual provider Active NPI

Kelly Ann Collopy, PT

  • Physical Therapist
  • Burgettstown, PA
National Provider Identifier
1750438198
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 009788 Issued in OH
Practice address
560 Steubenville Pike
Burgettstown, PA 15021
Phone
(724) 947-5350
Fax
(724) 947-0206
NPI assigned
Jan 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT 009788 OH Primary

Addresses

Primary practice location

560 Steubenville Pike
Burgettstown, PA 15021

Mailing address

401 Market St
Suite 1000
Steubenville, OH 43952-2881
Phone (740) 282-7386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT 009788OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750438198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MARKET ST",
            "address_2": "SUITE 1000",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522881",
            "telephone_number": "740-282-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 STEUBENVILLE PIKE",
            "city": "BURGETTSTOWN",
            "state": "PA",
            "postal_code": "15021",
            "telephone_number": "724-947-5350",
            "fax_number": "724-947-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLOPY",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 009788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burgettstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.