Individual provider Active NPI

Garin Wyberg, PT, DPT, SCS

  • Physical Therapist
  • Wexford, PA
National Provider Identifier
1144636200
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1013 Wexford Plaza Dr
Wexford, PA 15090-9214
Phone
(724) 934-2440
Fax
(724) 934-2442
NPI assigned
Jul 9, 2014
Last updated
Feb 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Sports Physical Therapist 2251S0007X PT024936 PA

Addresses

Primary practice location

1013 Wexford Plaza Dr
Wexford, PA 15090-9214

Mailing address

4 Allegheny Ctr FL 7
Pittsburgh, PA 15212-5255
Phone (412) 330-5068

Other practice location 1

1540 Alcazar St Ste 155
Los Angeles, CA 90089-9006
Phone (412) 477-3742

Other practice location 2

1040 5th Ave
Coraopolis, PA 15108-1986
Phone (412) 477-3742

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT024936PAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Garin Physiomovement, LLC Sports Current Accepting new patients
2WMVT, LLC Sports Current Accepting new patients

Locations

1040 5th Ave
Coraopolis, PA 15108
Phone (412) 477-3742

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1144636200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ALLEGHENY CTR FL 7",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125255",
            "telephone_number": "412-330-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 WEXFORD PLAZA DR",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909214",
            "telephone_number": "724-934-2440",
            "fax_number": "724-934-2442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 Alcazar St Ste 155",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900899006",
            "country_code": "US",
            "telephone_number": "412-477-3742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1040 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Coraopolis",
            "state": "PA",
            "postal_code": "151081986",
            "country_code": "US",
            "telephone_number": "412-477-3742",
            "fax_number": "844-364-6022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYBERG",
        "first_name": "GARIN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, SCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "PA",
            "license": "PT024936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.