Individual provider Active NPI

Kailee Marie Venzin

  • Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1861740425
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT022295 Issued in PA
Practice address
4605 Parnell St
Pittsburgh, PA 15207-1558
Phone
(302) 233-5542
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 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 PT022295 PA Primary

Addresses

Primary practice location

4605 Parnell St
Pittsburgh, PA 15207-1558

Mailing address

4605 Parnell St
Pittsburgh, PA 15207-1558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023003051 PA Practitioner - Physical Therapist in Private Practice 2567995947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Suburban Sports Medicine Center LPGroup PAC ID 6507306909, 24 clinicians

Practice addresses (Care Compare)

133 Donohoe Rd
Suite 200
Greensburg, PA 15601-7921
Phone (412) 856-8060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Suburban Sports Medicine Center, LTD. Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
East Suburban Sports Medicine Center LP Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

133 Donohoe Rd
Ste 200
Greensburg, PA 15601

4115 Wm Penn Hwy
Murrysville, PA 15668
Phone (724) 327-7099

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1861740425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 PARNELL ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152071558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 PARNELL ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152071558",
            "telephone_number": "302-233-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENZIN",
        "first_name": "KAILEE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.