Active NPI
Mary Elizabeth Kowalski X, ATC
- Contractor
- Hollidaysburg, PA
National Provider Identifier
1972056976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- RT000718B
- Practice address
- 3519 Scotch Valley Rd # 2
Hollidaysburg, PA 16648-5275 - Phone
- (814) 934-4793
- NPI assigned
- Jul 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | RT000718B | PA | Primary |
Addresses
Primary practice location
3519 Scotch Valley Rd # 2
Hollidaysburg, PA 16648-5275
Mailing address
3200 Pleasant Valley Blvd
Altoona, PA 16602-4310
Phone (814) 949-9500
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
| License | State | Type | Specialty |
|---|---|---|---|
| RT000718B | PA | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Institute LLC | Past | Accepting new patients | |
| Drayer Physical Therapy Institute LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- York, PA
- NPI 1053348409
-
- Physical Therapist
- Hummelstown, PA
- NPI 1538122700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1972056976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 PLEASANT VALLEY BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024310",
"telephone_number": "814-949-9500",
"fax_number": "814-949-9550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3519 SCOTCH VALLEY RD # 2",
"city": "HOLLIDAYSBURG",
"state": "PA",
"postal_code": "166485275",
"telephone_number": "814-934-4793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALSKI",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"name_suffix": "X",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-27",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "PA",
"license": "RT000718B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollidaysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.