Kimberly Fereza

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008670L Issued in PA

Practice address

950 S Central Ave Ste 6
Canonsburg, PA 15317-1489

Phone

(724) 844-6936

NPI assigned

Oct 9, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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 and National Provider Directory roles.

• Mortland Physical Therapy & Sports Medicine

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • MC Murray, PA
  • NPI 1306887278

  Physical Therapist

  Medicare reassignment NPD
• Orthopedic & Sports Physical Therapy Associates, Inc.

  • Physical Therapist
  • Charleroi, PA
  • NPI 1689636581
  Medicare reassignment NPD
• Orthopedic and Sports Physical Therapy Associates Inc

  • Physical Therapist
  • Pittsburgh, PA
  • NPI 1003415829
  NPD
• Therapeutic Specialists, Inc.

  • Music Therapist
  • Pittsburgh, PA
  • NPI 1649300682

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1871781526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S CENTRAL AVE STE 6",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171489",
            "telephone_number": "724-884-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S CENTRAL AVE STE 6",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171489",
            "telephone_number": "724-844-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEREZA",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008670L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871781526",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert C Evans, DDS
• Everstrong Counseling Services, LLC
• Lia Faccenda, LSW
• Amy Farrell
• Trevor Farrell
• Kiara Fetcko, NP-C
• Anthony Paul Filipponi, DPT
• Lucas Anthony Finnell
• Linell Fisher, PT
• Matthew Ross Flanagan, D.O.

• Physical Therapist in Canonsburg, PA
• Providers in Canonsburg, 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 16, 2020; 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.