Individual provider Active NPI

Joanna F Hersick, PT

  • Physical Therapist
  • Ellwood City, PA
National Provider Identifier
1891925244
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-011978L Issued in PA
Practice address
516 Jamison Ave
Ellwood City, PA 16117-2590
Phone
(724) 758-7044
Fax
(724) 758-3126
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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 PT-011978L PA Primary

Addresses

Primary practice location

516 Jamison Ave
Ellwood City, PA 16117-2590

Mailing address

516 Jamison Ave
Ellwood City, PA 16117-2590
Phone (724) 758-7044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-011978LPAMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: joanna.hersick@upmcdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1891925244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 JAMISON AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172590",
            "telephone_number": "724-758-7044",
            "fax_number": "724-758-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 JAMISON AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172590",
            "telephone_number": "724-758-7044",
            "fax_number": "724-758-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSICK",
        "first_name": "JOANNA",
        "middle_name": "F",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-011978L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellwood City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.