Individual provider Active NPI

Michael Tambellini, DPT

  • Physical Therapist
  • West View, PA
National Provider Identifier
1417621350
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT029562 Issued in PA
Practice address
1022 W View Park Dr
West View, PA 15229-1771
Phone
(412) 301-8326
NPI assigned
Aug 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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 PT029562 PA Primary

Addresses

Primary practice location

1022 W View Park Dr
West View, PA 15229-1771

Mailing address

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

Other practice location 1

480 Johnson Rd Ste 303
Washington, PA 15301-8936
Phone (724) 223-2061

Other practice location 2

802 Warrendale Village Dr
Warrendale, PA 15086-7589
Phone (724) 719-2326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT029562PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burgettstown Physical Therapy, LLC Physical Therapist CurrentSince Mar 9, 2022 Accepting new patients
The Physical Therapy Institute Physical Therapist PastSince Jun 12, 2022 Accepting new patients
The Physical Therapy Institute PastSince Jun 12, 2022 Accepting new patients
PT Group Acquisition LLC Physical Therapist PastSince Aug 8, 2021 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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1417621350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 PELLIS RD STE 101",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017900",
            "telephone_number": "724-850-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 W VIEW PARK DR",
            "city": "WEST VIEW",
            "state": "PA",
            "postal_code": "152291771",
            "telephone_number": "412-301-8326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Johnson Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "PA",
            "postal_code": "153018936",
            "country_code": "US",
            "telephone_number": "724-223-2061",
            "fax_number": "724-223-2064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 Warrendale Village Dr",
            "address_purpose": "LOCATION",
            "city": "Warrendale",
            "state": "PA",
            "postal_code": "150867589",
            "country_code": "US",
            "telephone_number": "724-719-2326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMBELLINI",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-04",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West View, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.