Center for Myofascial Therapy

Primary specialty

SpecialistTaxonomy code 174400000X

License

MSG003481 Issued in PA

Legal business name

CENTER FOR MYOFASCIAL THERAPY

Practice address

1312 E Carson St
Pittsburgh, PA 15203-1510

Phone

(412) 431-9180

Fax

(412) 381-6922

NPI assigned

Mar 6, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Mark G Spanos, CMTPT; LMT

Title

Owner; President

Phone

(412) 431-9180

Specialties & licenses 1

Addresses

Other names 1

• The Center for Pain Treatment Former legal business name

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1154714723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 LOUGEAY RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152354508",
            "telephone_number": "412-431-9180",
            "fax_number": "412-381-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 E CARSON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031510",
            "telephone_number": "412-431-9180",
            "fax_number": "412-381-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR MYOFASCIAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "SPANOS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER; PRESIDENT",
        "authorized_official_telephone_number": "412-431-9180",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CMTPT; LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MSG003481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Pain Treatment",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Specialist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.