Sandra Kay Mishic, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT013931L Issued in PA

Practice address

39 Midway Rd
Kane, PA 16735-4429

Phone

(814) 598-6422

Fax

(814) 837-6237

NPI assigned

Feb 23, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Milestones Physical Therapy, LLC

  • Pediatric Physical Therapist
  • Kane, PA
  • NPI 1255664272

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932235207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 MIDWAY RD",
            "city": "KANE",
            "state": "PA",
            "postal_code": "167354429",
            "telephone_number": "814-598-6422",
            "fax_number": "814-837-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 MIDWAY RD",
            "city": "KANE",
            "state": "PA",
            "postal_code": "167354429",
            "telephone_number": "814-598-6422",
            "fax_number": "814-837-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHIC",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "PA",
            "license": "PT013931L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010755820002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dale K McLaughlin, DDS
• Erin Mary McMahon, CRNP
• Medicine Shoppe
• Milestones Physical Therapy, LLC
• Monica Miller
• Jennifer Moore, LCSW
• Pediatric Services of America, LLC (Aveanna Healthcare)
• Hairong Peng
• Penn Highlands Home Medical Equipment LLC (PH HME Kane)
• Penn North Centers for Advanced Wound Care Inc

• Pediatric Physical Therapist in Kane, PA
• Providers in Kane, PA by specialty
• Pediatric Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.