Individual provider Active NPI

Kristina Shesko, DPT

  • Physical Therapist
  • Davidsville, PA
National Provider Identifier
1962837054
Registry record updated Sep 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010768L Issued in PA
Practice address
2000 Cambridge Dr
Davidsville, PA 15928-9220
Phone
(814) 288-2318
NPI assigned
Sep 7, 2013
Last updated
Sep 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2013

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 PT010768L PA Primary

Addresses

Primary practice location

2000 Cambridge Dr
Davidsville, PA 15928-9220

Mailing address

3148 Penn Ave
Boswell, PA 15531-2009

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
PT010768LPAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1378512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378512000000",
    "number": "1962837054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3148 PENN AVE",
            "city": "BOSWELL",
            "state": "PA",
            "postal_code": "155312009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CAMBRIDGE DR",
            "city": "DAVIDSVILLE",
            "state": "PA",
            "postal_code": "159289220",
            "telephone_number": "814-288-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHESKO",
        "first_name": "KRISTINA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-07",
        "last_updated": "2013-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT010768L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davidsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2013; 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.