Active NPI
Ines Medilovic, DPT
- Physical Therapist
- Erie, PA
National Provider Identifier
1750665899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT021616
- Practice address
- 560 E 3Rd St
Erie, PA 16507-1753 - Phone
- (814) 506-8212
- NPI assigned
- Oct 7, 2011
- Last updated
- Dec 28, 2020
- Sex
- Female
- 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 | PT021616 | PA | Primary |
Addresses
Primary practice location
560 E 3Rd St
Erie, PA 16507-1753
Mailing address
4919 Crosswinds Dr
Erie, PA 16506-5291
Phone (814) 566-1161
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1750665899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4919 CROSSWINDS DR",
"city": "ERIE",
"state": "PA",
"postal_code": "165065291",
"telephone_number": "814-566-1161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 E 3RD ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165071753",
"telephone_number": "814-506-8212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDILOVIC",
"first_name": "INES",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-07",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT021616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
- Medical Associates of Erie Inc. (Lecom Institue for Successful Aging)
- Medical Associates of Erie, Inc. (Millcreek Medical Arts)
- Medical Diagnostic Services, LTD.
- Medical Staffing Network, Inc. (Nurses Plus)
- Medicor Associates, Inc.
- Medvantx,Inc
- Elizabeth Medvin, MA, LAT, ATC
- Patrick Meehan, LLMSW
- Isabelle Meehl
- Pallavi Yonghang Meehl, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.