Individual provider Active NPI

Nicholas Mastovich, DPT

  • Physical Therapist
  • Murrysville, PA
National Provider Identifier
1437748464
Registry record updated Mar 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT029151 Issued in PA
Practice address
4951 Cline Hollow Rd
Murrysville, PA 15668-1580
Phone
(724) 733-9494
NPI assigned
Jan 14, 2021
Last updated
Mar 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2024

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 PT029151 PA Primary

Addresses

Primary practice location

4951 Cline Hollow Rd
Murrysville, PA 15668-1580

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (205) 991-7488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210120001870 PA Practitioner - Physical Therapist in Private Practice 3577977271 Reassigns benefits to 3 organizations
I20220128001524 VA Practitioner - Physical Therapist in Private Practice 3577977271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Pittsburgh School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

Practice addresses (Care Compare)

238 Belmont Ave
Bala Cynwyd, PA 19004-2334
Phone (215) 995-4106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT029151PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jan 25, 2021 Accepting new patients
Physical Therapy Specialists of Winchester, Inc. CurrentSince Jan 24, 2022 Accepting new patients
Pennsylvania Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Aug 24, 2025 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jan 25, 2021 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Aug 24, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

238 Belmont Ave
Bala Cynwyd, PA 19004
Phone (215) 995-4106

3 Jennifer Ct
Ste A
Carlisle, PA 17015
Phone (717) 243-0271

300 Welsh Rd
Bldg 1
Horsham, PA 19044

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

2433 Valley Ave
Ste 103
Winchester, VA 22601
Phone (540) 450-8024

817 Cedar Creek Grade
Ste 100
Winchester, VA 22601
Phone (540) 450-8024

Organizations & group practices 7

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": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711843200000",
    "number": "1437748464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "205-991-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 CLINE HOLLOW RD",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681580",
            "telephone_number": "724-733-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTOVICH",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-14",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2024; 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.

Verify at the official NPI Registry.