Individual provider Active NPI

Christopher Gutierrez Ozaeta, CHRIS OZAETA, LPT

  • Geriatric Physical Therapist
  • West Mifflin, PA
National Provider Identifier
1447377569
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT009327L Issued in PA
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT009327LPAMDGeriatric 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.

Verify at the official NPI Registry.