Organization Active NPI

DJB Med LLC

  • Physical Medicine & Rehabilitation Physician
  • Pittsburgh, PA
National Provider Identifier
1275950446
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS016640 Issued in PA
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

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Justin Berthold, D.O.NPI 1558681585
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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140819000209 PA Part B Supplier - Clinic/Group Practice 7214154046 Receives reassigned benefits from 4 practitioners
Practice locations: Monroeville, PA; Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.