Kelly Lee Bushore, PHYSICAL THERAPIST
NPI 1194708115ActiveIndividual· Physical Therapist· Roaring Spring, PA
Physical Therapist (PHYSICAL THERAPIST) in Roaring Spring, Pennsylvania, licensed in PA, with an NPI issued in November 2005.
Overview
| NPI | 1194708115 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICAL THERAPIST |
| Sole proprietor | No |
| NPI issued | Nov 23, 2005 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | DAPT000019 | PA |
| Physical Therapist | 225100000X | PT015724 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapist providers in Roaring Spring
- 1558323535
- 1679082820
- 1326785379
- 1780872200
- 1558343731
- 1033315460
- 1396702163
- 1952777633
- 1295111813
- 1760677330
- 1114989639
- 1548202393