Jenna Woleslagle, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT024214 Issued in PA

Practice address

625 Lincoln Ave Ste 107
Charleroi, PA 15022

Phone

(724) 565-5806

Fax

(724) 483-0290

NPI assigned

Feb 23, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jenna Kukla Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orthopedic & Sports Physical Therapy Associates, Inc.

  • Physical Therapist
  • Charleroi, PA
  • NPI 1689636581
  Medicare reassignment NPD
• Orthopedic and Sports Physical Therapy Associates Inc

  • Physical Therapist
  • Pittsburgh, PA
  • NPI 1003415829
  NPD

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1962894311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE STE 107",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "15022",
            "telephone_number": "724-565-5806",
            "fax_number": "724-483-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE STE 107",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "15022",
            "telephone_number": "724-565-5806",
            "fax_number": "724-483-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLESLAGLE",
        "first_name": "JENNA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030213100001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "KUKLA",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alfred Vogt, PT
• Washington Physician Services Organization
• Wells Premium Healthcare Services LLC
• Lisa Wilps, PT
• Lacie Wingrove
• Samuel Yareck III, BC-HIS
• Rose Marie Yawny, RPH

• Physical Therapist in Charleroi, PA
• Providers in Charleroi, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.