NPIMap

Organization Active NPI

Nacl Physical Therapy Services LLC

  • Physical Therapy Clinic/Center
  • Bethel Park, PA
National Provider Identifier
1356749493
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT0186663 Issued in PA
Legal business name
NACL PHYSICAL THERAPY SERVICES LLC
Practice address
4880 Library Rd
Bethel Park, PA 15102-2946
Phone
(412) 848-7219
NPI assigned
Dec 5, 2014
Last updated
Dec 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Authorized official

Name
Renea Mortel Alfonso, PHYSICAL THERAPISTNPI 1932349941
Title
Owner
Phone
(412) 848-7219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT0186663 PA Primary

Addresses

Primary practice location

4880 Library Rd
Bethel Park, PA 15102-2946

Mailing address

4880 Library Rd
Bethel Park, PA 15102-2946
Phone (412) 848-7219

Other identifiers 1

IdentifierTypeStateIssuer
229559OtherPAMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1356749493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 LIBRARY RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022946",
            "telephone_number": "412-848-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 LIBRARY RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022946",
            "telephone_number": "412-848-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NACL PHYSICAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "RENEA",
        "authorized_official_middle_name": "MORTEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-848-7219",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT0186663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "229559",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.