Carolyn Jean Engdahl, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016418 Issued in PA

Practice address

195 Krushka Rd
Shickshinny, PA 18655-4523

Phone

(570) 542-7897

NPI assigned

Aug 30, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Inhometherapy Inc

  • Physical Therapist
  • King of Prussia, PA
  • NPI 1811736069
  Medicare reassignment NPD

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1821347261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 KRUSHKA RD",
            "city": "SHICKSHINNY",
            "state": "PA",
            "postal_code": "186554523",
            "telephone_number": "570-542-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 KRUSHKA RD",
            "city": "SHICKSHINNY",
            "state": "PA",
            "postal_code": "186554523",
            "telephone_number": "570-542-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGDAHL",
        "first_name": "CAROLYN",
        "middle_name": "JEAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colpharm, Inc. (Colonial Pharmacy)
• Joan Cope
• Hannah Dalmas
• Megan Dluzeski
• Carrie Edwards, MS, RD, LDN
• Renee M Fedorchak
• Shona M Ferrey
• Heather Lyn Grabowski
• Sara L Grier, LCSW, CCTP
• Scott Harley, PHARMD

• Physical Therapist in Shickshinny, PA
• Providers in Shickshinny, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.