Pittsburgh Regenerative Center LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PITTSBURGH REGENERATIVE CENTER LLC

Practice address

2686 Monroeville Blvd
Monroeville, PA 15146-2302

Phone

(412) 357-2108

NPI assigned

Jul 13, 2020

Last updated

Jul 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Shultz

Title

Office Manager

Phone

(412) 372-3772

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1154949410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 MONROEVILLE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462302",
            "telephone_number": "412-357-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2686 MONROEVILLE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462302",
            "telephone_number": "412-357-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBURGH REGENERATIVE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "SHULTZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "412-372-3772",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1992783229",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1730583188",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://patientportal.exlipseportal.net",
            "affiliation": "N",
            "address_1": "2686 Monroeville Blvd",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151462302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pittsburgh Holistic Network East
• Pittsburgh Neurology Consultants
• Pittsburgh Specialty Hospital LLC
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• Pittsburgh Vein Center, LLC
• Plaid Eagle Medical PLLC
• Mario T Plaza-Ponte, M.D.

• Physical Medicine & Rehabilitation Physician in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.