Active NPI
Garin Wyberg, PT, DPT, SCS
- Physical Therapist
- Wexford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT024936 | PA | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Opti-My Physiotherapy & Fitness
- Sports Physical Therapist
- Coraopolis, PA
- NPI 1225518129
-
dba PhysioMovement
- Sports Physical Therapist
- Coraopolis, PA
- NPI 1023522034
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.