Individual provider Active NPI

Nikolas Scott Kaminski, NREMT

  • Physical Therapist
  • Ligonier, PA
National Provider Identifier
1811500457
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT033797 Issued in PA
Practice address
111 E Church St Ste B
Ligonier, PA 15658-1257
Phone
(724) 238-2099
Fax
(724) 238-2119
NPI assigned
Aug 24, 2020
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT033797 PA Primary
Athletic Trainer 2255A2300X RT008575 PA

Addresses

Primary practice location

111 E Church St Ste B
Ligonier, PA 15658-1257

Mailing address

5184 Watters Rd
Lower Burrell, PA 15068-8701
Phone (724) 681-9827

Other practice location 1

5184 Watters Rd
Lower Burrell, PA 15068-8701
Phone (724) 681-9827

Other practice location 2

3960 Route 30 Ste 104
Latrobe, PA 15650-5518
Phone (724) 532-3422

Other identifiers 1

IdentifierTypeStateIssuer
104573471-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260128004299 PA Practitioner - Physical Therapist in Private Practice 3779061098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weaver Physical Therapy, LLCGroup PAC ID 8022412238, 3 clinicians

Practice addresses (Care Compare)

111 E Church St B
In Sync Rehabilitation Services
Ligonier, PA 15658-1257
Phone (724) 238-2099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT033797PAMDPhysical Therapist
RT008575PAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Weaver Physical Therapy, LLC Physical Therapist CurrentSince Nov 5, 2025 Accepting new patients

Locations

3960 State Route 30
Ste 104
Latrobe, PA 15650
Phone (724) 532-3422

111 E Church St
Ste B
Ligonier, PA 15658
Phone (724) 238-2099

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1811500457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5184 WATTERS RD",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150688701",
            "telephone_number": "724-681-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E CHURCH ST STE B",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156581257",
            "telephone_number": "724-238-2099",
            "fax_number": "724-238-2119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5184 Watters Rd",
            "address_purpose": "LOCATION",
            "city": "Lower Burrell",
            "state": "PA",
            "postal_code": "150688701",
            "country_code": "US",
            "telephone_number": "724-681-9827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3960 Route 30 Ste 104",
            "address_purpose": "LOCATION",
            "city": "Latrobe",
            "state": "PA",
            "postal_code": "156505518",
            "country_code": "US",
            "telephone_number": "724-532-3422",
            "fax_number": "724-532-3424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMINSKI",
        "first_name": "NIKOLAS",
        "middle_name": "SCOTT",
        "credential": "NREMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033797",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT008575",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104573471-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ligonier, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.

Verify at the official NPI Registry.