Active NPI
Kelli Jeanne Paulat, MPT
- Physical Therapist
- Lower Burrell, PA
National Provider Identifier
1972797181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013880L
- Practice address
- 100 Little Dr
Lower Burrell, PA 15068-3345 - Phone
- (724) 339-1071
- NPI assigned
- Aug 30, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013880L | PA | Primary |
Addresses
Primary practice location
100 Little Dr
Lower Burrell, PA 15068-3345
Mailing address
69 Kiskiminetas Dr
Apollo, PA 15613-8531
Phone (724) 568-4295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210702000782 | PA | Practitioner - Physical Therapist in Private Practice | 7012318660 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allstar Therapies Inc
Practice addresses (Care Compare)
2030 Ader Rd
Jeannette, PA 15644-4500
Phone (724) 327-3557
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT013880L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allstar Therapies Inc | Physical Therapist | Current | Accepting new patients |
Locations
2030 Ader Rd
Jeannette, PA 15644
Phone (724) 327-3553
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Jeannette, PA
- NPI 1861602252
PA, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1972797181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 KISKIMINETAS DR",
"city": "APOLLO",
"state": "PA",
"postal_code": "156138531",
"telephone_number": "724-568-4295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LITTLE DR",
"city": "LOWER BURRELL",
"state": "PA",
"postal_code": "150683345",
"telephone_number": "724-339-1071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULAT",
"first_name": "KELLI",
"middle_name": "JEANNE",
"name_prefix": "Ms.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-30",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT013880L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lower Burrell, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.