Individual provider Active NPI

James Kittelberger, PT

  • Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1144270703
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004033L Issued in PA
Practice address
1699 Washington Rd
Pittsburgh, PA 15228-1629
Phone
(412) 831-5155
Fax
(412) 831-8060
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT004033L PA Primary

Addresses

Primary practice location

1699 Washington Rd
Pittsburgh, PA 15228-1629

Mailing address

1699 Washington Rd
Pittsburgh, PA 15228-1629
Phone (412) 831-5155

Other identifiers 3

IdentifierTypeStateIssuer
0516417OtherAETNA
831168OtherPAHIGHMARK
10897OtherHEALTH AMERICA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130911000409 PA Practitioner - Physical Therapist in Private Practice 0941444053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Physical Therapy Center IncGroup PAC ID 0840458022, 2 clinicians

Practice addresses (Care Compare)

1699 Washington Rd
Pittsburgh, PA 15228-1629

3400 S Park Rd
Suite 13
Bethel Park, PA 15102-1150
Phone (412) 831-5155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Physical Therapy Center Inc Physical Therapist CurrentSince Aug 15, 1996 Accepting new patients
Advanced Chiropractic PC PastSince Jan 28, 2010 Accepting new patients

Locations

3400 S Park Rd
Ste 13
Bethel Park, PA 15102
Phone (412) 831-5155

1699 Washington Rd
#P
Pittsburgh, PA 15228
Phone (412) 831-5155

1699 Washington Rd
Pittsburgh, PA 15228
Phone (412) 831-3744

Organizations & group practices 2

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1144270703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 WASHINGTON RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281629",
            "telephone_number": "412-831-5155",
            "fax_number": "412-831-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 WASHINGTON RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281629",
            "telephone_number": "412-831-5155",
            "fax_number": "412-831-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTELBERGER",
        "first_name": "JAMES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT004033L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0516417",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "831168",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "10897",
            "state": null
        }
    ],
    "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 Dec 27, 2011; 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.