NPIMap

Organization Active NPI

Team King Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Irwin, PA
National Provider Identifier
1124557673
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT021811 Issued in PA
Legal business name
TEAM KING PHYSICAL THERAPY LLC
Practice address
905 Spruce St Ste 104
Irwin, PA 15642-3683
Phone
(724) 382-4206
NPI assigned
Jun 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Matthew Ryan King, PT, DPT, OCS,FAAOMPTNPI 1720270051
Title
Owner
Phone
(724) 382-4206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT021811 PA Primary

Addresses

Primary practice location

905 Spruce St Ste 104
Irwin, PA 15642-3683

Mailing address

905 Spruce St Ste 104
Irwin, PA 15642-3683
Phone (724) 382-4206

Other practice location 1

1010 Mill St Ste 3
Harrison City, PA 15636-1309
Phone (724) 392-1043

Other names 1

  • King Physical Therapy North Huntingdon Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171011001513 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6002181484 Receives reassigned benefits from 10 practitioners
Practice locations: Harrison City, PA; Irwin, PA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1010 Mill St
Ste 3
Harrison City, PA 15636
Phone (724) 392-1043

10709 Route 30
North Huntingdon, PA 15642
Phone (724) 382-4206

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1124557673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SPRUCE ST STE 104",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423683",
            "telephone_number": "724-382-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SPRUCE ST STE 104",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423683",
            "telephone_number": "724-382-4206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Mill St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Harrison City",
            "state": "PA",
            "postal_code": "156361309",
            "country_code": "US",
            "telephone_number": "724-392-1043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEAM KING PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-382-4206",
        "authorized_official_credential": "PT, DPT, OCS,FAAOMPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT021811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King Physical Therapy North Huntingdon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irwin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.