Individual provider Active NPI

Lora Kathleen Chesla, PTA

  • Physical Therapy Assistant
  • Dover, PA
National Provider Identifier
1902059587
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TEI000868 Issued in PA
Practice address
3377 Fox Run Rd
Dover, PA 17315-3705
Phone
(717) 767-5634
Fax
(717) 767-5657
NPI assigned
Oct 28, 2008
Last updated
May 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TEI000868 PA Primary

Addresses

Primary practice location

3377 Fox Run Rd
Dover, PA 17315-3705

Mailing address

6365 Walker Rd
Stewartstown, PA 17363-7672
Phone (717) 993-2242

Other names 1

  • Miss Lora Kathleen Ewell Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TEI000868PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1902059587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6365 WALKER RD",
            "city": "STEWARTSTOWN",
            "state": "PA",
            "postal_code": "173637672",
            "telephone_number": "717-993-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 FOX RUN RD",
            "city": "DOVER",
            "state": "PA",
            "postal_code": "173153705",
            "telephone_number": "717-767-5634",
            "fax_number": "717-767-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESLA",
        "first_name": "LORA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI000868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORA",
            "last_name": "EWELL",
            "middle_name": "KATHLEEN",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.