Active NPI
Anthony B Bertini, PT
- Physical Therapist
- Saint Marys, PA
National Provider Identifier
1285618082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT003005L
- Practice address
- 1383 Bucktail Rd
Saint Marys, PA 15857-3266 - Phone
- (814) 834-0059
- Fax
- (814) 834-0060
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 Therapist | 225100000X | PT003005L | PA | Primary |
Addresses
Primary practice location
1383 Bucktail Rd
Saint Marys, PA 15857-3266
Mailing address
1383 Bucktail Rd
Saint Marys, PA 15857-3266
Phone (814) 834-0059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025541 | Medicaid | PA |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242518400000",
"number": "1285618082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1383 BUCKTAIL RD",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158573266",
"telephone_number": "814-834-0059",
"fax_number": "814-834-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1383 BUCKTAIL RD",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158573266",
"telephone_number": "814-834-0059",
"fax_number": "814-834-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTINI",
"first_name": "ANTHONY",
"middle_name": "B",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2009-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT003005L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025541",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Marys, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.