Organization Active NPI

A-K Valley Physical Medicine LLC

  • Sports Medicine (Family Medicine) Physician
  • Lower Burrell, PA
National Provider Identifier
1417209693
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
OS014379 Issued in PA
Legal business name
A-K VALLEY PHYSICAL MEDICINE LLC
Practice address
1170 Wildlife Lodge Rd
Lower Burrell, PA 15068-3562
Phone
(724) 339-0370
NPI assigned
Oct 11, 2012
Last updated
May 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Alec CiriglianoNPI 1730121062
Title
Co-Owner
Phone
(724) 339-0370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X OS014379 PA Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1170 Wildlife Lodge Rd
Lower Burrell, PA 15068-3562

Mailing address

1170 Wildlife Lodge Rd
Lower Burrell, PA 15068-3562
Phone (724) 339-0370

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1417209693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 WILDLIFE LODGE RD",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150683562",
            "telephone_number": "724-339-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 WILDLIFE LODGE RD",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150683562",
            "telephone_number": "724-339-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-K VALLEY PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "CIRIGLIANO",
        "authorized_official_first_name": "ALEC",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "724-339-0370"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS014379",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lower Burrell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.