Jesse Sally, D.O.

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

OS016173 Issued in PA

Practice address

107 Gamma Dr
Suite 220
Pittsburgh, PA 15238-2917

Phone

(412) 963-6480

Fax

(412) 963-6820

NPI assigned

Jun 9, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rehabilitation and Pain SpecialistsGroup PAC ID 7810956497, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jsally@direct.excelahealth.org

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.

• Rehabilitation and Pain Specialists

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Pittsburgh, PA
  • NPI 1912950825

  Sports Medicine

  Medicare reassignment Care Compare group NPD
• Medical Rehabilitation, Inc

  • Rehabilitation Practitioner
  • Wexford, PA
  • NPI 1942248612
  Medicare reassignment NPD
• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD
• University of Pittsburgh Physicians

  • Physical Medicine & Rehabilitation Physician
  • Pittsburgh, PA
  • NPI 1770541963

  Sports Medicine

  NPD
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1447419981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GAMMA DR",
            "address_2": "SUITE 220",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382917",
            "telephone_number": "412-963-6480",
            "fax_number": "412-963-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GAMMA DR",
            "address_2": "SUITE 220",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382917",
            "telephone_number": "412-963-6480",
            "fax_number": "412-963-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLY",
        "first_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PA",
            "license": "OS016173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Salim
• Rachel Salk, PHD
• Devereux Saller
• Kirsten Salline, MD
• Jenan Sallit, OD
• Muhammad Salman, M.D.
• Shirley Salmon Davis, LCSW
• Alicia Arveson Salmon, LCSW
• Chase Michael Salmon
• John C Salmon, PHD

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.