Individual provider Active NPI

Lisa Ann Sagwitz

  • Athletic Trainer
  • Pittsburgh, PA
National Provider Identifier
1114587425
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
CERTIFICATIONPENDING Issued in PA
Practice address
425 Maplevale Dr
Pittsburgh, PA 15236-4346
Phone
(412) 653-5899
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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 CERTIFICATIONPENDING PA Primary

Addresses

Primary practice location

425 Maplevale Dr
Pittsburgh, PA 15236-4346

Mailing address

425 Maplevale Dr
Pittsburgh, PA 15236-4346
Phone (412) 653-5899

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL API Other

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

LicenseStateTypeSpecialty
CERTIFICATIONPENDINGPAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1114587425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MAPLEVALE DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152364346",
            "telephone_number": "412-653-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MAPLEVALE DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152364346",
            "telephone_number": "412-653-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGWITZ",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "CERTIFICATIONPENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "API",
            "affiliation": "N",
            "endpointDescription": "API",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "setting up",
            "address_1": "425 Maplevale Dr",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152364346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 18, 2019; 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.