Active NPI
Robert L Lacava, P.T.
- Physical Therapist
- Coraopolis, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016023
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015935850006 | Medicaid | PA | |
| 251570641 | Other | PA | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Anderson Physical Therapy Etc PC | Physical Therapist | Past | Accepting new patients |
| Excel Physical Therapy | Physical Therapist | Past | 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.
-
dba AHN-Primary Care Bethel Park
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
dba AHN Primary Care Mobile Clinic
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
dba Cardiovascular and Critical Care Associates
- Cardiovascular Disease Physician
- Pittsburgh, PA
- NPI 1316373327
-
- Physical Therapist
- Seneca, PA
- NPI 1487647376
-
- Physical Therapist
- Seneca, PA
- NPI 1760773501
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.