Active NPI
Kaley Ann Booher
- Physical Therapist
- Monroeville, PA
National Provider Identifier
1760129589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT030147
- Practice address
- 3824 Northern Pike Ste 660
Monroeville, PA 15146-2141 - Phone
- (412) 646-4141
- NPI assigned
- May 13, 2022
- 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 | PT030147 | PA | Primary |
Addresses
Primary practice location
3824 Northern Pike Ste 660
Monroeville, PA 15146-2141
Mailing address
6687 Poketa Rd
Verona, PA 15147-3347
Phone (814) 644-9408
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT030147 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline Therapy Monroeville LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Monroeville, PA
- NPI 1427418342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1760129589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6687 POKETA RD",
"city": "VERONA",
"state": "PA",
"postal_code": "151473347",
"telephone_number": "814-644-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3824 NORTHERN PIKE STE 660",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462141",
"telephone_number": "412-646-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOHER",
"first_name": "KALEY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-13",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT030147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.