Alpha Fitness Club LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT016509 Issued in PA

Legal business name

ALPHA FITNESS CLUB LLC

Practice address

95 Enterprise St
Suite 115
Elizabeth, PA 15037-2070

Phone

(412) 896-9661

Fax

(412) 896-9807

NPI assigned

Feb 25, 2010

Last updated

Feb 25, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Matta, D.P.T.

Title

Owner/Doctor of Physical Therapy

Phone

(412) 303-0866

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1407178924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ENTERPRISE DRIVE",
            "address_2": "SUITE 115",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "15037",
            "telephone_number": "412-896-9661",
            "fax_number": "412-896-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ENTERPRISE ST",
            "address_2": "SUITE 115",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372070",
            "telephone_number": "412-896-9661",
            "fax_number": "412-896-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA FITNESS CLUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "MATTA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "412-303-0866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "DAPT001268",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT016509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.