Organization Active NPI

Altru Physical Therapy, Inc.

  • Specialist
  • Murrysville, PA
National Provider Identifier
1013037720
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PTO5422L Issued in PA
Legal business name
ALTRU PHYSICAL THERAPY, INC.
Practice address
4125 William Penn Hwy
Murrysville, PA 15668-1847
Phone
(724) 386-1007
Fax
(724) 387-1009
NPI assigned
Mar 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gregory L. Komoroski, PT
Title
Owner, President
Phone
(724) 387-1007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PTO5422L PA Primary

Addresses

Primary practice location

4125 William Penn Hwy
Murrysville, PA 15668-1847

Mailing address

4125 William Penn Hwy
Murrysville, PA 15668-1847
Phone (724) 386-1007

Other identifiers 4

IdentifierTypeStateIssuer
1962437889OtherPANPI GREGORY KOMOROSKI PT
1033141452OtherPANPI MICHAEL RICCHIUTO MPT
515166OtherPAPROVIDER BC ID #
RI1742951OtherPABC IDENTIFICATION #

National Provider Directory

National Provider Directory

Locations

524 E Pittsburgh St
Greensburg, PA 15601
Phone (724) 420-5558

406 Route 217
#A
Latrobe, PA 15650
Phone (724) 527-0881

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013037720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 WILLIAM PENN HWY",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681847",
            "telephone_number": "724-386-1007",
            "fax_number": "724-387-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 WILLIAM PENN HWY",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681847",
            "telephone_number": "724-386-1007",
            "fax_number": "724-387-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTRU PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOMOROSKI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "724-387-1007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PTO5422L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GREGORY KOMOROSKI PT",
            "identifier": "1962437889",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI MICHAEL RICCHIUTO MPT",
            "identifier": "1033141452",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER BC ID #",
            "identifier": "515166",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC IDENTIFICATION #",
            "identifier": "RI1742951",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.