Active NPI
DJB Med LLC
- Physical Medicine & Rehabilitation Physician
- Pittsburgh, PA
National Provider Identifier
1275950446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- OS016640
- Legal business name
- DJB MED LLC
- Practice address
- 21 Yost Blvd
Forest Hills Plaza Suite 144
Pittsburgh, PA 15221-5283 - Phone
- (412) 816-1400
- NPI assigned
- Mar 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Berthold, D.O.
- Title
- Owner
- Phone
- (412) 657-3347
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OS016640 | PA | Primary |
Addresses
Primary practice location
21 Yost Blvd
Forest Hills Plaza Suite 144
Pittsburgh, PA 15221-5283
Mailing address
229 Sheryl LN
Pittsburgh, PA 15221-3768
Other names 1
- Rehabilitation Physicians of Pittsburgh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
21 Yost Blvd
Ste 144
Pittsburgh, PA 15221
Phone (412) 816-1400
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Pittsburgh, PA
- NPI 1558681585
-
- Nurse Practitioner
- Johnstown, PA
- NPI 1417633876
-
- Physical Medicine & Rehabilitation Physician
- Pittsburgh, PA
- NPI 1891028304
-
- Medical Physician Assistant
- Pittsburgh, PA
- NPI 1710170006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407974400000",
"number": "1275950446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 SHERYL LN",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152213768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 YOST BLVD",
"address_2": "FOREST HILLS PLAZA SUITE 144",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152215283",
"telephone_number": "412-816-1400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DJB MED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-25",
"last_updated": "2014-08-14",
"status": "A",
"authorized_official_last_name": "BERTHOLD",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "412-657-3347",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "OS016640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rehabilitation Physicians of Pittsburgh",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 14, 2014; 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.