Active NPI
Kristen Cobaugh, PT
- Physical Therapist
- Saint Marys, PA
National Provider Identifier
1760859359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009899L
- Practice address
- 763 Johnsonburg Rd
Saint Marys, PA 15857-3417 - Phone
- (814) 788-8815
- Fax
- (814) 788-8091
- NPI assigned
- Aug 31, 2015
- 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 | PT009899L | PA | Primary |
Addresses
Primary practice location
763 Johnsonburg Rd
Saint Marys, PA 15857-3417
Mailing address
440 Montmorenci Rd
Ridgway, PA 15853-9710
Phone (814) 594-2967
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT009899L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1760859359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 MONTMORENCI RD",
"city": "RIDGWAY",
"state": "PA",
"postal_code": "158539710",
"telephone_number": "814-594-2967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "763 JOHNSONBURG RD",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158573417",
"telephone_number": "814-788-8815",
"fax_number": "814-788-8091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBAUGH",
"first_name": "KRISTEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-31",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT009899L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Marys, PA
- Lei Chen, MD
- Jennifer Cherry
- Anthony Chiappelli, PHARM. D.
- Rosemaria Judith Cienciva Sorg, M.D.
- Paul S Clemens Sr., PA-C
- Peter William Coffman, MD
- Amber Lee Colello, LCSW
- Community Nurses Home Health and Hospice, Inc.
- Community Nurses Home Health and Hospice, Inc.
- Community Nurses Home Support Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.