Individual provider Active NPI

Kevin Scott Dusenbury, M.P.T.

  • Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1295841716
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011085 Issued in OH
Practice address
5900 Corporate Dr Ste 200
Pittsburgh, PA 15237-7005
Phone
(412) 369-4000
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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 011085 OH Primary

Addresses

Primary practice location

5900 Corporate Dr Ste 200
Pittsburgh, PA 15237-7005

Mailing address

5900 Corporate Dr
Ste 200
Pittsburgh, PA 15237-7005
Phone (412) 369-4000

Other practice location 1

4365 Liberty Ave
Vermilion, OH 44089-2133
Phone (440) 967-4226

Other identifiers 1

IdentifierTypeStateIssuer
000000476368OtherOHANTHEM BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060908000496 OH Practitioner - Physical Therapist in Private Practice 6800890674
I20210617000020 PA Practitioner - Physical Therapist in Private Practice 6800890674 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Orthopaedics and Sports Medicine, Inc.Group PAC ID 2365342284, 59 clinicians

Practice addresses (Care Compare)

5900 Corporate Dr
Suite 200
Pittsburgh, PA 15237-7005
Phone (412) 369-4000

Merit-based Incentive Payment System (MIPS)

Final score
93.13 of 100Reported as group
Quality
87.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011085OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Pennsylvania Hand Center CurrentSince Nov 14, 2024 Accepting new patients
Tri-State Orthopaedics & Sports Medicine, Inc. CurrentSince Apr 27, 2021 Accepting new patients
Tri-State Orthopaedics & Sports Medicine, Inc. CurrentSince Apr 27, 2021 Accepting new patients
Healthsource of Brooklyn Physical Therapist PastSince Dec 1, 2008 Accepting new patients
Greater Pittsburgh Orthopaedic Associates, Inc. Past Accepting new patients

Locations

575 Coal Valley Rd
Ste 111
Jefferson Hills, PA 15025
Phone (740) 792-4220

5900 Corporate Dr
Ste 200
Pittsburgh, PA 15237
Phone (412) 369-4000

6001 Stonewood Dr
Wexford, PA 15090
Phone (724) 933-3800

6001 Stonewood Dr
Fl 2
Wexford, PA 15090
Phone (724) 933-3850

Organizations & group practices 5

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1295841716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 CORPORATE DR",
            "address_2": "STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152377005",
            "telephone_number": "412-369-4000",
            "fax_number": "412-369-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 CORPORATE DR STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152377005",
            "telephone_number": "412-369-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4365 Liberty Ave",
            "address_purpose": "LOCATION",
            "city": "Vermilion",
            "state": "OH",
            "postal_code": "440892133",
            "country_code": "US",
            "telephone_number": "440-967-4226",
            "fax_number": "440-967-8715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUSENBURY",
        "first_name": "KEVIN",
        "middle_name": "SCOTT",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "011085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000476368",
            "state": "OH"
        }
    ],
    "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 Jul 28, 2022; 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.