Sprague Physical Therapy Center, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SPRAGUE PHYSICAL THERAPY CENTER, INC

Practice address

734 E Warrington Ave
Pittsburgh, PA 15210-1565

Phone

(412) 481-1188

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Russell Edward Daviess, PT

Title

President/Administrator

Phone

(412) 481-1188

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295769370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 E WARRINGTON AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152101565",
            "telephone_number": "412-481-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 E WARRINGTON AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152101565",
            "telephone_number": "412-481-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRAGUE PHYSICAL THERAPY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIESS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "412-481-1188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "000000155119",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011184290001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spotlight Psychiatry and Wellness LLC
• Mikayla Spott
• Kyle Dane Spradling, M.D.
• Jessica Lynn Spragg
• Shawn C. Spragg, PTA
• Andrew Lynn Sprague, PT, PHD, DPT
• Benjamin Julius Sprague, MD
• Kristyn Sprague, PT
• Trinity Sprague
• Arianna Christine Sprando, PHARMD

• Physical Therapy Clinic/Center in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.