Active NPI
Lynn Mary Fitzgerald
- Physical Therapist
- Pittsburgh, PA
National Provider Identifier
1063609089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT002184E
- Practice address
- 1417 Wightman St
Pittsburgh, PA 15217-1240 - Phone
- (412) 421-0310
- NPI assigned
- Oct 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT002184E | PA | Primary |
Addresses
Primary practice location
1417 Wightman St
Pittsburgh, PA 15217-1240
Mailing address
1895 Dubonnet CT
Allison Park, PA 15101-3214
Phone (412) 965-5567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT002184E | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191369600000",
"number": "1063609089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1895 DUBONNET CT",
"city": "ALLISON PARK",
"state": "PA",
"postal_code": "151013214",
"telephone_number": "412-965-5567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 WIGHTMAN ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152171240",
"telephone_number": "412-421-0310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "LYNN",
"middle_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-03",
"last_updated": "2007-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT002184E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.