Healthcare Provider Details

I. General information

NPI: 1023926193
Provider Name (Legal Business Name): KRISTIANA LANAE CASCINO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 SOMERSET AVE
WINDBER PA
15963-1331
US

IV. Provider business mailing address

120 LAYTON LN
JOHNSTOWN PA
15904-4018
US

V. Phone/Fax

Practice location:
  • Phone: 814-467-3893
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberPT034566
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: