Individual provider Active NPI

Jeffrey R Sofran, P.T.

  • Physical Therapist
  • McMurray, PA
National Provider Identifier
1043249527
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15666 Issued in PA
Practice address
4150 Washington Rd Ste 101
MC Murray, PA 15317-2534
Phone
(724) 941-2240
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT15666 PA Primary

Addresses

Primary practice location

4150 Washington Rd Ste 101
MC Murray, PA 15317-2534

Mailing address

4150 Washington Rd Ste 101
MC Murray, PA 15317-2534
Phone (724) 941-2240

Other identifiers 2

IdentifierTypeStateIssuer
0015935850015MedicaidPA
251570641OtherPATAX ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeffrey.r.sofran@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090630000057 PA Practitioner - Physical Therapist in Private Practice 5890846091 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT15666PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Associates Inc Physical Therapist CurrentSince Jul 1, 2009 Accepting new patients
Orthopedic & Sports Physical Therapy Associates, Inc. Physical Therapist Current Accepting new patients
Orthopedic and Sports Physical Therapy Associates Inc OT CurrentSince Jul 1, 2009 Accepting new patients
Core Network, LLC Physical Therapist PastSince Nov 5, 2023 Accepting new patients

Locations

631C National Pike E
Brownsville, PA 15417
Phone (724) 785-5262

625 Lincoln Ave
Ste 107
North Charleroi, PA 15022
Phone (724) 483-4886

500 1st Ave
Pittsburgh, PA 15219
Phone (412) 807-7878

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1043249527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 WASHINGTON RD STE 101",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172534",
            "telephone_number": "724-941-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 WASHINGTON RD STE 101",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172534",
            "telephone_number": "724-941-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFRAN",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-01-29",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT15666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015935850015",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "251570641",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey.r.sofran@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McMurray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.