Individual provider Active NPI

Aaron M Kubistek, OTR L

  • Hand Occupational Therapist
  • McMurray, PA
National Provider Identifier
1073635983
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OC008456 Issued in PA
Practice address
5000 Waterdam Plaza Dr
Suite 240
McMurray, PA 15317-5412
Phone
(724) 941-0111
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OC008456 PA Primary

Addresses

Primary practice location

5000 Waterdam Plaza Dr
Suite 240
McMurray, PA 15317-5412

Mailing address

5000 Waterdam Plaza Dr
Suite 240
McMurray, PA 15317-5412
Phone (724) 941-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070504000085 PA Practitioner - Occupational Therapist in Private Practice 9436255619 Reassigns benefits to 2 organizations
I20240123001607 WV Practitioner - Occupational Therapist in Private Practice 9436255619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Ridgeview Dr
Unit 6
Smithfield, PA 15478-1650
Phone (724) 564-5600

943 Maple Dr
Morgantown, WV 26505-2812
Phone (304) 599-2515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Morgantown Physical Therapy Associates, Inc. CurrentSince Dec 15, 2023 Accepting new patients
Morgantown Physical Therapy Associates, Inc. CurrentSince Dec 15, 2023 Accepting new patients
Western Pennsylvania Hand Center CurrentSince Jan 1, 2022 Accepting new patients

Locations

103 Pleasant Dr
Ste 209
Aliquippa, PA 15001
Phone (724) 203-3335

100 Ridgeview Dr
Unit 6
Smithfield, PA 15478
Phone (724) 564-5600

6001 Stonewood Dr
Wexford, PA 15090
Phone (724) 933-3800

6001 Stonewood Dr
Fl 2
Wexford, PA 15090
Phone (724) 933-3850

103 Professional Arts Plaza Dr
Buckhannon, WV 26201
Phone (304) 427-0181

943 Maple Dr
Morgantown, WV 26505
Phone (304) 599-2515

Organizations & group practices 3

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073635983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 WATERDAM PLAZA DR",
            "address_2": "SUITE 240",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153175412",
            "telephone_number": "724-941-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 WATERDAM PLAZA DR",
            "address_2": "SUITE 240",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153175412",
            "telephone_number": "724-941-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBISTEK",
        "first_name": "AARON",
        "middle_name": "M",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "PA",
            "license": "OC008456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.