Individual provider Active NPI

Robert E Brett, P.T.

  • Physical Therapist
  • White Oak, PA
National Provider Identifier
1376506782
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT006329L Issued in PA
Practice address
1501 Lincoln Way
Suite 203
White Oak, PA 15131-1721
Phone
(412) 664-9008
Fax
(412) 664-9234
NPI assigned
Apr 7, 2006
Last updated
Aug 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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 PT006329L PA Primary

Addresses

Primary practice location

1501 Lincoln Way
Suite 203
White Oak, PA 15131-1721

Mailing address

438 Pellis Rd
Suite 101
Greensburg, PA 15601-7900
Phone (724) 850-7587

Other identifiers 1

IdentifierTypeStateIssuer
0015999540001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060126000057 PA Practitioner - Physical Therapist in Private Practice 4385668797 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Burgettstown Physical Therapy, LLC Physical Therapist CurrentSince Mar 31, 2023 Accepting new patients
Associated Occupational Therapists, Inc. Physical Therapist Past Accepting new patients
The Physical Therapy Institute PastSince Jan 1, 2018 Accepting new patients

Locations

2038 Smith Township State Rd
Ste 4
Burgettstown, PA 15021
Phone (724) 825-5480

3627 Brodhead Rd
Ste 2
Monaca, PA 15061
Phone (724) 775-6012

470 Johnson Rd
Ste 140
Washington, PA 15301
Phone (412) 670-2845

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1376506782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 PELLIS RD",
            "address_2": "SUITE 101",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017900",
            "telephone_number": "724-850-7587",
            "fax_number": "724-850-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LINCOLN WAY",
            "address_2": "SUITE 203",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311721",
            "telephone_number": "412-664-9008",
            "fax_number": "412-664-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETT",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006329L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015999540001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Oak, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.