Individual provider Active NPI

Robert L Lacava, P.T.

  • Physical Therapist
  • Coraopolis, PA
National Provider Identifier
1184630568
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016023 Issued in PA
Practice address
2419 State Ave Ste 100
Coraopolis, PA 15108-2233
Phone
(412) 625-2621
Fax
(412) 625-2623
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT016023 PA Primary

Addresses

Primary practice location

2419 State Ave Ste 100
Coraopolis, PA 15108-2233

Mailing address

812 Broad Ave
Belle Vernon, PA 15012-1664
Phone (724) 929-5774

Other practice location 1

812 Broad Ave
Belle Vernon, PA 15012-1664
Phone (724) 929-5774

Other identifiers 2

IdentifierTypeStateIssuer
0015935850006MedicaidPA
251570641OtherPATAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090629000178 PA Practitioner - Physical Therapist in Private Practice 6305997552 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Nov 11, 2024 Accepting new patients
Allegheny Clinic CurrentSince Nov 11, 2024 Accepting new patients
Allegheny Clinic Current Accepting new patients
Anderson Physical Therapy Etc PC Physical Therapist PastSince Apr 13, 1999 Accepting new patients
Excel Physical Therapy Physical Therapist PastSince Sep 8, 2025 Accepting new patients

Locations

2419 State Ave
Ste 100
Coraopolis, PA 15108
Phone (412) 625-2621

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

Organizations & group practices 5

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1184630568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 BROAD AVE",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121664",
            "telephone_number": "724-929-5774",
            "fax_number": "724-929-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 STATE AVE STE 100",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151082233",
            "telephone_number": "412-625-2621",
            "fax_number": "412-625-2623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 Broad Ave",
            "address_purpose": "LOCATION",
            "city": "Belle Vernon",
            "state": "PA",
            "postal_code": "150121664",
            "country_code": "US",
            "telephone_number": "724-929-5774",
            "fax_number": "724-929-9524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACAVA",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015935850006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "251570641",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coraopolis, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.