Individual provider Active NPI

Jake Amatangelo, PT, DPT

  • Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1275396343
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT032001 Issued in PA
Practice address
6011 Baptist Rd Ste 100
Pittsburgh, PA 15236-3361
Phone
(412) 347-0022
NPI assigned
Feb 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 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 PT032001 PA Primary

Addresses

Primary practice location

6011 Baptist Rd Ste 100
Pittsburgh, PA 15236-3361

Mailing address

6011 Baptist Rd Ste 100
Pittsburgh, PA 15236-3361

Other practice location 1

3441 Millers Run Rd Ste 104
Cecil, PA 15321-1410
Phone (724) 338-2062

Other practice location 2

2001 Waterdam Plaza Dr Ste 102
Mc Murray, PA 15317-5416
Phone (724) 941-7070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240227000757 PA Practitioner - Physical Therapist in Private Practice 0143665455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clifford Milowicki Physical Therapy Services LLCGroup PAC ID 9638309743, 7 clinicians

Practice addresses (Care Compare)

2001 Waterdam Plaza Dr
Suite 102
MC Murray, PA 15317-5416
Phone (724) 941-7070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clifford Milowicki Physical Therapy Services LLC Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Praxis Physical Therapy, Inc. PastSince Feb 4, 2024 Accepting new patients

Locations

3441 Millers Run Rd
Ste 104
Cecil, PA 15321
Phone (724) 338-2062

2001 Waterdam Plaza Dr
Ste 102
McMurray, PA 15317
Phone (724) 941-7070

6011 Baptist Rd
Ste 100
Pittsburgh, PA 15236
Phone (412) 347-0022

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1275396343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 BAPTIST RD STE 100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152363361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 BAPTIST RD STE 100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152363361",
            "telephone_number": "412-347-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3441 Millers Run Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Cecil",
            "state": "PA",
            "postal_code": "153211410",
            "country_code": "US",
            "telephone_number": "724-338-2062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Waterdam Plaza Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mc Murray",
            "state": "PA",
            "postal_code": "153175416",
            "country_code": "US",
            "telephone_number": "724-941-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMATANGELO",
        "first_name": "JAKE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.