Patriot Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PATRIOT PHYSICAL THERAPY INC

Practice address

2279B Main Street
Munhall, PA 15120

Phone

(412) 462-1191

Fax

(412) 462-1182

NPI assigned

Apr 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gary Bornak, MPT

Title

Owner/PT

Phone

(412) 462-2330

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael D Piekutoski, MPT

  • Physical Therapist
  • Homestead, PA
  • NPI 1366408825
  NPD (past)
• Bryon L Wolfe, MPT

  • Physical Therapist
  • Zelienople, PA
  • NPI 1285773796
  NPD (past)
• Jason T Henne, PT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1881787695
  NPD (past)
• Scott Pape, MPT

  • Physical Therapist
  • Chevy Chase, MD
  • NPI 1750377222
  NPD (past)
• Theresa A Spalla, D.P.T.

  • Physical Therapist
  • Cherry Hill, NJ
  • NPI 1235114109
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1255395166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 EASY STREET",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151221966",
            "telephone_number": "412-462-1191",
            "fax_number": "412-462-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279B MAIN STREET",
            "city": "MUNHALL",
            "state": "PA",
            "postal_code": "15120",
            "telephone_number": "412-462-1191",
            "fax_number": "412-462-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "BORNAK",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "412-462-2330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA9531",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "PT016751",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tony Michelle McDonald, RN
• Mark Vincent Minuto, DC
• Kachina Wenona Mooney, MA, LPC, ATR-BC
• Munhall Dental
• Oak HRC Eldercrest LLC
• Taylor Peiffer
• Kelly Petro, LSW
• Anita M Phillips, RPH
• Pittsburgh Eye Associates, P.C.
• Preferred Primary Care Physicians, Inc.

• All providers in Munhall, PA
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.