Individual provider Active NPI

Angela Fehr Kutz, PHYSICAL THERAPIST

  • Physical Therapist
  • Pottsville, PA
National Provider Identifier
1831686989
Registry record updated Apr 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008048L Issued in PA
Practice address
186 Morningside Dr
Pottsville, PA 17901-8871
Phone
(570) 385-4030
NPI assigned
Apr 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 008048L PA Primary

Addresses

Primary practice location

186 Morningside Dr
Pottsville, PA 17901-8871

Mailing address

186 Morningside Dr
Pottsville, PA 17901-8871
Phone (570) 385-4030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200417000684 PA Practitioner - Physical Therapist in Private Practice 6002246956 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008048LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Hospital Physical Therapist CurrentSince Apr 6, 2020 Accepting new patients
Lehigh Valley Hospital CurrentSince Apr 6, 2020 Accepting new patients

Locations

707 Hamilton St
Fl 4
Allentown, PA 18101
Phone (484) 862-3001

2901 Emrick Blvd
Ste 103
Bethlehem, PA 18020
Phone (610) 625-2169

700 Hawk Ridge Dr
Hamburg, PA 19526
Phone (610) 562-0170

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523750400000",
    "number": "1831686989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 MORNINGSIDE DR",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179018871",
            "telephone_number": "570-385-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 MORNINGSIDE DR",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179018871",
            "telephone_number": "570-385-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTZ",
        "first_name": "ANGELA",
        "middle_name": "FEHR",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-15",
        "last_updated": "2018-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "008048L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2018; 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.