NPIMap

Organization Active NPI

Orthopedic & Sports Physical Therapy Associates, Inc.

  • Customized Equipment (DME)
  • Uniontown, PA
National Provider Identifier
1174776744
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ORTHOPEDIC & SPORTS PHYSICAL THERAPY ASSOCIATES, INC.
Practice address
54A Lebanon Ave
Uniontown, PA 15401-4127
Phone
(724) 439-6294
Fax
(724) 439-8941
NPI assigned
Oct 28, 2008
Last updated
Feb 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Authorized official

Name
Mr. Jody Henson, PT
Title
PT
Phone
(724) 483-3361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X PA Primary

Addresses

Primary practice location

54A Lebanon Ave
Uniontown, PA 15401-4127

Mailing address

54A Lebanon Ave
Uniontown, PA 15401-4127
Phone (724) 439-6294

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140313001710 PA DME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 5890609887 Practice locations: Uniontown, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ortho Sports PT Assoc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

54A Lebanon Ave
Uniontown, PA 15401
Phone (724) 437-2147

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1174776744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54A LEBANON AVE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014127",
            "telephone_number": "724-439-6294",
            "fax_number": "724-439-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54A LEBANON AVE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014127",
            "telephone_number": "724-439-6294",
            "fax_number": "724-439-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPORTS PHYSICAL THERAPY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "724-483-3361",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.