Active NPI
Christopher Gutierrez Ozaeta, CHRIS OZAETA, LPT
- Geriatric Physical Therapist
- West Mifflin, PA
National Provider Identifier
1447377569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- PT009327L
- Practice address
- 500 N Lewis Run Rd
Suite 111
West Mifflin, PA 15122-3056 - Phone
- (412) 414-0040
- NPI assigned
- Mar 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | PT009327L | PA | Primary |
Addresses
Primary practice location
500 N Lewis Run Rd
Suite 111
West Mifflin, PA 15122-3056
Mailing address
1208 Valleyview Dr
Lawrence, PA 15055-1035
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT009327L | PA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447377569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 VALLEYVIEW DR",
"city": "LAWRENCE",
"state": "PA",
"postal_code": "150551035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N LEWIS RUN RD",
"address_2": "SUITE 111",
"city": "WEST MIFFLIN",
"state": "PA",
"postal_code": "151223056",
"telephone_number": "412-414-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OZAETA",
"first_name": "CHRISTOPHER",
"middle_name": "GUTIERREZ",
"name_prefix": "Mr.",
"credential": "CHRIS OZAETA, LPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "PA",
"license": "PT009327L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Mifflin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.