Individual provider Active NPI

Kelli Jeanne Paulat, MPT

  • Physical Therapist
  • Lower Burrell, PA
National Provider Identifier
1972797181
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013880L Issued in PA
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

Updated by the provider on Aug 30, 2007

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 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 IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 5294998035, 10 clinicians

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

LicenseStateTypeSpecialty
PT013880LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allstar Therapies Inc Physical Therapist CurrentSince Mar 26, 2021 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.

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.

Verify at the official NPI Registry.