Active NPI
Micheal D Hudack, P.T.
- Physical Therapist
- Bethel Park, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008076L
- Practice address
- 4846 Library Rd
Route 88
Bethel Park, PA 15102-2962 - Phone
- (412) 835-2259
- Fax
- (412) 835-2543
- NPI assigned
- Jun 30, 2006
- Last updated
- Feb 11, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008076L | PA | Primary |
Addresses
Primary practice location
4846 Library Rd
Route 88
Bethel Park, PA 15102-2962
Mailing address
4846 Library Rd
Route 88
Bethel Park, PA 15102-2962
Phone (412) 835-2259
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251570641 | Other | PA | TAX ID |
| 0015935850010 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Pittsburgh School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 Lincoln Ave
Suite 107
North Charleroi, PA 15022-2451
Phone (724) 483-4886
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic and Sports Physical Therapy Associates Inc | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Sports Physical Therapy Associates, Inc. | Physical Therapist | Current | Accepting new patients |
| Orthopedic and Sports Physical Therapy Associates Inc OT | Past | Accepting new patients |
Locations
4846 Library Rd
#88
Bethel Park, PA 15102
Phone (412) 835-2259
5141 Brightwood Rd
Bethel Park, PA 15102
Phone (412) 831-1220
625 Lincoln Ave
Ste 107
North Charleroi, PA 15022
Phone (724) 483-1673
500 1st Ave
Pittsburgh, PA 15219
Phone (412) 807-7878
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.
-
- Physical Therapist
- Charleroi, PA
- NPI 1689636581
-
- Physical Therapist
- Pittsburgh, PA
- NPI 1003415829
-
- Occupational Therapist
- California, PA
- NPI 1952423774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234310400000",
"number": "1396773818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4846 LIBRARY RD",
"address_2": "ROUTE 88",
"city": "BETHEL PARK",
"state": "PA",
"postal_code": "151022962",
"telephone_number": "412-835-2259",
"fax_number": "412-835-2543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4846 LIBRARY RD",
"address_2": "ROUTE 88",
"city": "BETHEL PARK",
"state": "PA",
"postal_code": "151022962",
"telephone_number": "412-835-2259",
"fax_number": "412-835-2543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDACK",
"first_name": "MICHEAL",
"middle_name": "D",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2009-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT008076L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "251570641",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015935850010",
"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 Feb 11, 2009; 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.