Pennsylvania Physical Therapy Services of Hermitage, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PENNSYLVANIA PHYSICAL THERAPY SERVICES OF HERMITAGE, LLC

Practice address

260 S Buhl Farm Dr
Hermitage, PA 16148-2526

Phone

(724) 977-9918

Fax

(724) 418-2418

NPI assigned

Apr 16, 2025

Organization subpart

No

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

Authorized official

Name

Joshua L. Proffitt

Title

President

Phone

(337) 233-1307

Specialties & licenses 3

Addresses

Other names 1

• Apex Health and Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Lynn Blaire, DPT

  • Physical Therapist
  • Hermitage, PA
  • NPI 1497649842
  Medicare reassignment
• David Polisano

  • Physical Therapy Assistant
  • Hermitage, PA
  • NPI 1184541807
  NPD (past)

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1053107102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S BUHL FARM DR",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482526",
            "telephone_number": "724-977-9918",
            "fax_number": "724-418-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA PHYSICAL THERAPY SERVICES OF HERMITAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rajvi Patel, M.D.
• Katherine K Patton, PHARM.D
• Joann Pavlick, P.T.A.
• Maryann E Payne, MD
• Joseph Patrick Pecorelli, PH.D.
• Eric Perry
• Noelle Peters, DMD
• Kristen Jeanelle Peterson, PT
• Dean Petrucci
• Corrine Barton Pfaff, AU.D.

• Physical Therapist in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.