Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KIANAH DIVINE BLAKELY-WHITE PT
NPI 1033025853
Physical Therapist in Wexford, PA

Active since August 21, 2026Accepts Medicare Assignment
10475 PERRY HWY STE 106G, WEXFORD, PA 15090(877) 407-3422(877) 407-4329 Get Directions Write a Review

NPPES record added: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kianah Divine Blakely-white Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIANAH DIVINE BLAKELY-WHITE PT (NPI 1033025853) is an individual physical therapist in Wexford, Pennsylvania, licensed in Pennsylvania (PT034564) and active in the NPI registry since August 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1033025853
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKIANAH DIVINE BLAKELY-WHITECredential: PT
Location Address10475 PERRY HWY STE 106GWexford, PA 15090-9213
Mailing Address7 Carnegie PlzCherry Hill, NJ 08003-1000 · (877) 407-3422 · Fax (877) 407-4329
Fax(877) 407-4329
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateAugust 21, 2026
NPPES CertifiedAugust 21, 2026
✔ NPI 1033025853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in PA · PT034564
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
10475 PERRY HWY STE 106G, Wexford, PA 15090

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kianah Divine Blakely-white Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517427891
PECOS Enrollment IDI20260905000321

Medicare Billing Reassignment

Medicare enrollment records show Kianah Blakely-white reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
701 FOULK RD STE 2A
Wilmington, DE 19803
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 847 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15090 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
10475 PERRY HWY STE 106G
WEXFORD, PA 15090
Physical Therapist
10475 PERRY HWY STE 106G
WEXFORD, PA 15090
Physical Therapist
10475 PERRY HWY STE 106G
WEXFORD, PA 15090
Occupational Therapist
10475 PERRY HWY STE 106G
WEXFORD, PA 15090
Speech-Language Pathologist
10475 PERRY HWY STE 106G
WEXFORD, PA 15090
Physical Therapist
10475 PERRY HWY STE 106G
WEXFORD, PA 15090
Occupational Therapist
10475 PERRY HWY STE 106G
WEXFORD, PA 15090
Physical Therapist
10475 PERRY HWY STE 106G
WEXFORD, PA 15090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kianah Blakely-white's NPI number?

The NPI number for Kianah Blakely-white is 1033025853. It was assigned to this individual provider in the NPPES registry on August 21, 2026.

Where is Kianah Blakely-white located?

Kianah Blakely-white practices at 10475 Perry Hwy Ste 106G, Wexford, PA 15090. The listed phone number is (877) 407-3422.

What is Kianah Blakely-white's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kianah Blakely-white enrolled in Medicare?

Yes. Kianah Blakely-white is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kianah Blakely-white's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kianah Blakely-white reassigns Medicare benefits to Fox Rehabilitation Services Inc (Wilmington, DE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kianah Blakely-white's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kianah Blakely-white was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.