Individual provider Active NPI

Joni M Difonso

  • Physical Therapist
  • Murrysville, PA
National Provider Identifier
1356606669
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT022195 Issued in PA
Practice address
4262 Old William Penn Hwy
Murrysville, PA 15668-1953
Phone
(724) 387-1000
Fax
(724) 387-1100
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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 PT022195 PA Primary

Addresses

Primary practice location

4262 Old William Penn Hwy
Murrysville, PA 15668-1953

Mailing address

324 Rodi Rd
Pittsburgh, PA 15235-3318
Phone (412) 242-7800

Other names 1

  • Joni Mothersbaugh Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211123000276 PA Practitioner - Physical Therapist in Private Practice 8527457076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4262 Old William Penn Hwy
Murrysville, PA 15668-1953
Phone (724) 387-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT022195PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physical Therapy and Rehabilitation Services, Inc. Physical Therapist CurrentSince Nov 22, 2021 Accepting new patients
Core Network, LLC Physical Therapist Past Accepting new patients

Locations

4262 Old William Penn Hwy
Murrysville, PA 15668
Phone (724) 325-6020

4262 Old William Penn Hwy
Ste 210
Murrysville, PA 15668
Phone (724) 235-6050

1130 Perry Hwy
Ste 1
Pittsburgh, PA 15237
Phone (412) 318-4285

324 Rodi Rd
Pittsburgh, PA 15235
Phone (412) 242-7880

Organizations & group practices 2

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": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1356606669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 RODI RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152353318",
            "telephone_number": "412-242-7800",
            "fax_number": "412-242-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4262 OLD WILLIAM PENN HWY",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681953",
            "telephone_number": "724-387-1000",
            "fax_number": "724-387-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFONSO",
        "first_name": "JONI",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONI",
            "last_name": "MOTHERSBAUGH",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murrysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.