Active NPI
Steven Dedmon, PTA
- Physical Therapy Assistant
- Gibsonia, PA
National Provider Identifier
1235202425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TE002561L
- Practice address
- 5827 Meridian Rd
Gibsonia, PA 15044-9404 - Phone
- (724) 443-0700
- Fax
- (724) 443-4410
- NPI assigned
- Nov 16, 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 Therapy Assistant | 225200000X | TE002561L | PA | Primary |
Addresses
Primary practice location
5827 Meridian Rd
Gibsonia, PA 15044-9404
Mailing address
140 Bellwood Cir
Cranberry Township, PA 16066-7336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE002561L | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235202425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 BELLWOOD CIR",
"city": "CRANBERRY TOWNSHIP",
"state": "PA",
"postal_code": "160667336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5827 MERIDIAN RD",
"city": "GIBSONIA",
"state": "PA",
"postal_code": "150449404",
"telephone_number": "724-443-0700",
"fax_number": "724-443-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEDMON",
"first_name": "STEVEN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE002561L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gibsonia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.