Kristen Eberhardt Okuda, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009931L Issued in PA

Practice address

500 Market St Ste 103
Beaver, PA 15009-2998

Phone

(724) 728-7550

Fax

(724) 647-1570

NPI assigned

Nov 1, 2021

Last updated

Nov 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Mary Eberhardt Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Mrs Physical Therapy

  • Physical Therapist
  • Erie, PA
  • NPI 1306893763
  Medicare reassignment Care Compare group NPD
• Medical Rehabilitation Systems, LLC

  • Physical Therapist
  • Grantsville, MD
  • NPI 1861500233
  NPD (past)

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1861157281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20820 ROUTE 19",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666000",
            "telephone_number": "724-591-8121",
            "fax_number": "724-241-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARKET ST STE 103",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092998",
            "telephone_number": "724-728-7550",
            "fax_number": "724-647-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUDA",
        "first_name": "KRISTEN",
        "middle_name": "EBERHARDT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009931L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "EBERHARDT",
            "middle_name": "MARY",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael P O'Brien, CRNP
• William F O'Connor, M.D.
• Laura Katherine O'Keefe, DPT
• Rosemary O'Neill, CRNA
• Jennifer Elizabeth Oaks, MS LPC CAADC
• Samantha Morgan Olee, DPM
• Samantha Sue Calcutt Olenic, PA-C
• Michael Oliver, D.O.
• Oncology Hematology Association
• Onsight Health Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.