Individual provider Active NPI

Bryan Russell Orenchuk, MS, ATC

  • Athletic Trainer
  • Pittsburgh, PA
National Provider Identifier
1114062825
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT001919A Issued in PA
Practice address
433 Castle Shannon Blvd
Pittsburgh, PA 15234-1405
Phone
(412) 344-9044
Fax
(412) 344-9047
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

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
Athletic Trainer 2255A2300X RT001919A PA Primary

Addresses

Primary practice location

433 Castle Shannon Blvd
Pittsburgh, PA 15234-1405

Mailing address

20 Cross Street
Burgettstown, PA 15021-1061
Phone (412) 417-3561

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
RT001919APAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
David Physical Therapy and Sports Medicine Center Inc. PastSince May 6, 2020 Accepting new patients

Organizations & group practices 1

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114062825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CROSS STREET",
            "city": "BURGETTSTOWN",
            "state": "PA",
            "postal_code": "150211061",
            "telephone_number": "412-417-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 CASTLE SHANNON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341405",
            "telephone_number": "412-344-9044",
            "fax_number": "412-344-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORENCHUK",
        "first_name": "BRYAN",
        "middle_name": "RUSSELL",
        "name_prefix": "Mr.",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT001919A",
            "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 Jul 8, 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.

Verify at the official NPI Registry.