IndividualActive
Janine Wiciak
NPI 1477797405 · Physical Therapy Assistant · Elwyn, PA
Provider details
- NPI number
- 1477797405
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- TE005319L (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Elwyn Rd
Kivitz Bldg - Phys Rehab
Elwyn, PA 19063-4622
Phone: (610) 891-2214
Fax: (610) 891-2280
Street-level locationGet directions
Mailing address
111 Elwyn Road
Elwyn, PA 19063-4622
Registry dates
- Enumerated
- 2009-04-21
- Last updated
- 2009-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.