Individual provider Active NPI

Michael William Iwaskewycz, PT, DPT

  • Physical Therapist
  • Aliquippa, PA
National Provider Identifier
1427724772
Registry record updated Mar 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29816 Issued in MD
Practice address
3109 Green Garden Rd
Aliquippa, PA 15001-1069
Phone
(724) 378-8228
NPI assigned
Aug 17, 2021
Last updated
Mar 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT029746 PA
Physical Therapist 225100000X 29816 MD Primary

Addresses

Primary practice location

3109 Green Garden Rd
Aliquippa, PA 15001-1069

Mailing address

621 Mellon Ave
Baden, PA 15005-1730
Phone (724) 709-4849

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
29816MDMDPhysical Therapist
PT029746PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Physical Therapy Institute Past Accepting new patients
The Physical Therapy Institute Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711152000000",
    "number": "1427724772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 MELLON AVE",
            "city": "BADEN",
            "state": "PA",
            "postal_code": "150051730",
            "telephone_number": "724-709-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 GREEN GARDEN RD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150011069",
            "telephone_number": "724-378-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWASKEWYCZ",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2024-03-23",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029746",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliquippa, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2024; 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.