Keisha Hay
Individual provider Active NPI Physical Therapy Assistant · Everett, PA
NPI 1962857508 · NPPES record last updated May 2, 2016
Key facts
- NPI
- 1962857508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TE010922 (PA)
- Practice address
- 208 Pennknoll Rd
Everett, PA 15537-6940 - Phone
- (814) 623-3200
- NPI assigned
- May 2, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE010922 | PA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE010922 | PA | Yes |
Addresses
Primary practice location
208 Pennknoll Rd
Everett, PA 15537-6940
Mailing address
1601 Main St
Berlin, PA 15530-1438
Other providers in Everett, PA
- Brian Thomas Goss
- Rebecca Ann Grandi
- Renee Hamler
- Nancy Lynn Hangeland
- Dana Harris
- Nora Marie Heister
- Heidi Dawn Hillegass
- Peggy V Hoffman
- Tammy Hoover
- Horizon Behavioral Health, PLLC
All providers in Everett, PA · Physical Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.